Correction of areolar depression in postsurgically treated gynecomastic patients

Nipple-areolar depression after resection for gynecomastia can be avoided b y preserving an ample amount of breast tissue and fat under the areola. If a marked depression of the areola occurs, correction can be difficult. Each patient requires an individual assessment, but the principle of rotation o f soft tissue under the areolar complex is usually necessary. An effective way to accomplish this is by deepithelialization of a semilunar area inferi or to the original subareolar scar, freeing it at its caudal boarder and ad vancing this deepithelialized flap under the areola and repairing the wound . The technique is simple in design and may be a useful tool in dealing wit h this difficult problem.