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, 27 (1), 56-61

Gynecomastia in Adolescent Males


Gynecomastia in Adolescent Males

Valerie Lemaine et al. Semin Plast Surg.


Gynecomastia is defined as an enlargement of the male breast. It is often benign, and can be the source of significant embarrassment and psychological distress. A general medical history and careful physical examination are essential to distinguish normal developmental variants from pathological causes. Treatment is geared toward the specific etiology when identified. In the majority of cases of pubertal gynecomastia, observation and reassurance are the mainstays of therapy as the condition usually resolves naturally. Pharmacological treatment and surgery are recommended only in selected cases.

Keywords: Gynecomastia; adolescent; surgical treatment; ultrasound-assisted liposuction.


Fig. 1
Fig. 1
Preoperative views of a 16-year-old boy with Simon grade I pubertal gynecomastia with dense breast tissue (upper row). Postoperative result at 15 months (lower row) following ultrasound-assisted liposuction and arthroscopic shaver-assisted removal of the breast tissue.
Fig. 2
Fig. 2
(A–C) Preoperative views of a 15-year-old boy with obesity and pubertal gynecomastia. Moderate breast enlargement and minor skin excess (Simon grade IIb) are observed. (D–F) Postoperative views one day after ultrasound-assisted liposuction and arthroscopic shaver assisted removal of the breast tissue without skin excision. (G–I) Postoperative result at 10 months.

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