Abstract
Gynecomastia is a swelling of the male breast as a result of the growth of two components: the adipose and the glandular tissue, sometimes unilateral, but more often occurring in bilateral form. Several classification systems were proposed, based on the hypertrophy of the tissue and the position of the nipple-areola complex.
The clinical examination and blood analysis play an important role in excluding endocrine tumors or hormone balance modification and in choosing the treatment.
The management of gynecomastia considers the drug therapy in case of hormones disorder. But surgical procedures, such as the combined adenectomy/liposuction, represent the gold standard of treatment. Skin redundancy removal is adopted in advanced-stage cases with severe skin ptosis.
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References
Barros AC, Sampaio Mde C. Gynecomastia: physiopathology, evaluation and treatment. Sao Paulo Med J. 2012;130(3):187–97.
Dickson G. Gynecomastia. Am Fam Physician. 2012;85(7):716–22.
Al Alwan I, Al Azkawi H, Badri M, Tamim H, Al Dubayee M, Tamimi W. Hormonal, anthropometric and lipid factors associated with idiopathic pubertal gynecomastia. Ann Saudi Med. 2013;33(6):579–83.
Malhotra AK, Amed S, Bucevska M, Bush KL, Arneja JS. Do adolescents with gynecomastia require routine evaluation by endocrinology? Plast Reconstr Surg. 2018;142(1):9e–16e.
Cordova A, Moschella F. Algorithm for clinical evaluation and surgical treatment of gynecomastia. J Plast Reconstr Aesthet Surg. 2008;61(1):41–9.
Khan HN. Endocrine treatment of physiological gynaecomastia. BMJ. 2003;327:301–2.
Webster JP. Mastectomy for gynecomastia through a semi-circular intra-areolar incision. Ann Surg. 1946;124(3):557–75.
Nuzzi LC, Firriolo J, Pike C, Cerrato F, DiVasta A, Labow B. The effect of surgical treatment for gynecomastia on quality of life in adolescents. J Adolesc Health. 2018;63(6):759–65.
Sollie M. Management of gynecomastia-changes in psychological aspects after surgery-a systematic review. Gland Surg. 2018;7(1):70–6.
Cho BC, Yang JD, Balk BS. Periareolar reduction mammoplasty using an inferior dermal pedicle or a central pedicle. J Plast Reconstr Aesthet Surg. 2008;61(3):275–81.
Chidester JR, Ray AO, Lum SS, Miles DC. Revisiting the free nipple graft: an opportunity for nipple sparing mastectomy in women with breast ptosis. Ann Surg Onc. 2013;20(10):3350–4.
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Cordova, A., Tripoli, M. (2020). Gynecomastia. In: Cordova, A., Innocenti, A., Toia, F., Tripoli, M. (eds) Plastic and Cosmetic Surgery of the Male Breast. Springer, Cham. https://doi.org/10.1007/978-3-030-25502-2_6
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DOI: https://doi.org/10.1007/978-3-030-25502-2_6
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