• Claudio Cannistrà and Yousuf Al-Shaqsi.
• From the Unity of Plastic Surgery (Cannistrà), Bichat C.B. Hospital, and from the Pediatric Surgery Department (Al-Shaqsi), Armand Trousseau Hospital, Paris, France.
• Saudi Med J. 2021 May 1; 42 (5): 574-577.

ObjectivesTo describe the surgical approach to the treatment of iatrogenic gynecomastia via peri-areolar incision.MethodsIn this study, we describe our experience in the surgical management of iatrogenic hormonal gynecomastia with our technique described for idiopathic gynecomastia. We treated 70 patients with gynecomastia at a plastic surgery unit between 2000 and 2016. Ten of these patients had a painful hypertrophic mammary gland with grade III gynecomastia secondary to hormone therapy after prostate cancer.ResultsThe presence of a very discreet scar around the areola often has very interesting aesthetic results. Areolar tissue sensation was completely preserved in 40% of patients. No short-term complications were observed; in follow-up, only one case of keloid scars was noted on a patient with dark skin, and only one case of areolar necrosis on a patient with critical breast ptosis.ConclusionThis technique is feasible. It restores almost normal anatomy structure with minimal scarring and preserves good regional neurovascular supply, with only 60% altered areolar sensation.Copyright: © Saudi Medical Journal.

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