Male Gynecomastia Correction by Superior Dynamic Flap Method: A Consistent and Versatile Technique

BACKGROUND: Gynecomastia is a common cosmetic issue in India. Many combinations of liposuction and excision of the gland have been advocated. Complete removal of the breast leaves behind a contour deformity and hence a sliver of it needs to be left behind. This study used a consistent and versatile technique for correction of gynecomastia by a superior dynamic flap method. METHODS: A retrospective study was conducted in 1159 gynecomastia surgeries done from March 2013 to February 2019. All these patients were treated by a single surgeon using the superior dynamic flap method in a single center and the results were assessed with patient and surgeon satisfaction scores. The technique involved leaving behind a thin sliver of the gland in order to avoid contour deformity and achieve a smoother shape overall. RESULTS: Minor complications were seen in 27 patients and the satisfaction scores were 8.9 and 8.79 in patients and surgeon, respectively. There was no incidence of contour deformity after the procedure. CONCLUSION: Superior dynamic flap method was a versatile technique and allowed the surgeon not only to avoid contour deformities, but also to correct asymmetries.