The authors present a method of treatment for gynecomastia that combines the use of two techniques of soft-tissue contouring. This method uses ultrasonic liposuction in conjunction with the pull-through technique of direct excision to effectively remove the fibrofatty tissue of the male breast and the fibrous breast bud through a single 1-cm incision. Fifteen patients were treated in this fashion, and each patient demonstrated a smooth, masculine breast contour with a well-concealed scar, which eliminates the stigma of breast surgery. The procedure is technically straightforward and provides consistent results. It is offered as an additional option for the treatment of gynecomastia.
Grand Rapids, Mich.
From the Center for Breast and Body Contouring.
Received for publication August 2, 2002;
revised October 14, 2002.
Dennis C. Hammond M.D.
Center for Breast and Body Contouring
4070 Lake Drive, S.E.
Grand Rapids, Mich. 49546