Many surgical techniques have been proposed for the treatment of gynecomastia with excess skin. Most of them leave long, visible scars, and do not always elevate the nipple-areola complex. The use of periareolar mammaplasty associated with inferior or superior pedicle flaps embodying the areola has the objectives of elevating the nipple-areola complex and removing excess skin and adipoglandular tissue. Permanent periareolar circling is applied to prevent late widening of the nipple-areola complex. The final scar is circular and around the periphery of the areola. The procedure is described, including postoperative evolution and results.
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