Work

The Dome technique: A single-stage liposuction and dermopexy treatment for high-grade gynecomastia

Year: 2025

Type: article

Abstract: BACKGROUND: Gynecomastia is a benign, excessive development of the male breast that occurs at an overall incidence of 32% to 36%. The goals of surgical treatment are to restore the breast contour with minimal scarring and protect the areolar anatomy and sensation. Here, a new single stage technique is described where peripheral fat tissue is effectively removed using ultrasound-assisted liposuction (UAL) followed by a Dome breast lifting from the superior parabolic periareolar incision without touching the complex inferior pedicle. METHODS: A retrospective review of outcomes for 29 patients aged between 18 and 49 years with grade IIB or grade III gynecomastia who were treated with UAL and the Dome technique. Health-related quality-of-life and aesthetic outcomes were evaluated using a modified version of the Breast Evaluation Questionnaire (BEQ). RESULTS: < 0.05). No infection, nipple-areola complex necrosis, nipple retraction, or saucer deformity was encountered. CONCLUSION: The use of UAL and Dome technique for the treatment of severe gynecomastia allows for the effective removal of both the fat and glandular tissue of the breast through a minimal periareolar parabolic incision. This technique can achieve excellent aesthetic results with inconspicuous scarring in a single session.

Source: Scandinavian Journal of Surgery

DOI: 10.1177/14574969251363334

Authors: Umut Zereyak, Onur Aksoy

Institutions: Acıbadem Kadıköy Hospital, Bağcılar Eğitim ve Araştırma Hastanesi

Language: English

Topic: Male Breast Health Studies

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $2,000