Cosmetic Dermatology and Hair Care

Surgical treatment of grade III gynecomastia requires more scarring than grade I& II. Reduction mammoplasty in males has been recently more encountered since the introduction and the uprising of bariatric surgery. Yet it is more challenging than in the female breast as it requires certain modification to reach a modest male breast shape. Since the year 2010 up till now we adopted and modified a technique that eliminates the vertical Scar and carries the NAC on a wide pedicle simulating a Pec. Major contour, as much as possible then delivered through a hole in the superior skin flap. A series of cases performed since 2010 by myself and adopted by some colleagues in the department afterwards (around 32%) of the total no. of cases; two incidences of NAC mal positioning however did not affect the patient satisfaction. The future is to combine it with high definition lipo sculpture in selected thin built patients.