[Suction lipectomy for male gynecomastia].

This paper reports the application of the suction lipectomy to treat gynecomastia in 10 cases with excellent results. A 2-2. 5 cm incision was made on the lower areolar border at 5 to 7 o'clock. The suction power was adjusted to 67-93 kPa. The suction cannula was moved to and fro in radial direction rapidly. The diameter of the sucked area should be larger than desired size of the breast by 2 cm to avoid a saucer deformity. If gynecomastia is entirely due to fat accumulation, suction lipectomy only is enough. But, when gynecomastia is due partly to parenchymal hypertrophy, an additional excision of the parenchymatous tissue is required. After the operation, elastic garment must be worn at all time for 4 to 6 weeks to avoid hematoma and to achieve a flat appearance.