Gynecomastia Donut Excision Technique Description and Review of Literature.

BACKGROUND

Gynecomastia is benign enlargement of male breast tissue that may cause psychological distress and aesthetic concerns. Surgical correction can be complicated by scarring, contour irregularities, and nipple-areolar complex (NAC) deformity.

METHODS

This article presents a narrative review and describes a surgical technique involving preoperative marking, VASER-assisted liposuction, circumferential de-epithelialization, controlled glandular excision, preservation of dermoglandular tissue beneath the NAC, and staged closure.

RESULTS

The described approach combines contouring with preservation of NAC support and a staged closure intended to distribute tension. The photographs illustrate preoperative and postoperative appearances; comparative effectiveness, complication rates, and long-term outcomes have not been established.

CONCLUSIONS

Donut excision with dermoglandular preservation and staged closure is a described approach to gynecomastia correction. Comparative studies with longer follow-up and standardized patient-reported outcomes are needed to evaluate its safety and aesthetic benefits.

LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .