Periareolar access in pronounced gynecomastia with focusplasty and liposuction

Introduction: The treatment of gigantic gynecomastia has usually been accom panied by ugly scars. Methods: Because of our experiences in 38 patients wi th gynecomastia grade III, we suggest a surgical technique that not only in volves a simple mastectomy and liposuction, but also a mere periareoler inc ision and, if necessary, repeated focusplasty and liposuction. Excessive sk in can be repaired with a so-called focusplasty. Results: In young patients this can successfully be achieved in one operation. Conclusions: Because s kin has a minimized ability to retract in older patients, repeat operative sessions are necessary.