Alternatives for the surgical correction of severe gynecomastia.

Two surgical techniques available for the correction of severe gynecomastia in the male patient are described in detail. Severe gynecomastia complicates the plan for correction by presenting the same obstacles which are found in mastopexy or breast reduction for the female patient. These include: tissue resection, skin excision, and nipple-areolar complex elevation. The amount of each of these will determine which specific procedure should be used.