Gynaecomastia. Subcutaneous mastectomy with adipose tissue flap.

Eighteen patients with gynaecomastia were mastectomised over the last three years (September 1984 to September 1987) using a technique of modified subcutaneous mastectomy. This modification utilizes an axillary flat flap to fill in the defect resulting from excision of the breast tissue. All our patients had a very satisfactory post-operative cosmetic result. The frequent complications of breast excision, such as doughnut deformity, nipple necrosis, nipple flattening, inversion or loss of sensation, were not encountered in our series. The operative technique is described in detail, steps and a representative result are shown.