Gynecomastia Treatment through Open Resection and Pectoral High-Definition Liposculpture

Abstract

Plastic and Reconstructive Surgery • November 2022 leading a team too much like a man, and not enough like a woman, because of my tone.This has become a tired story. We are tired of it, too. We are tired of wasting anger and frustration on individuals who are not solely to blame for these stereotypes because the issue is bigger than a few isolated beings. It is a systemic issue, like a mycorrhizal network, an underground network of threadlike fungi that connects the roots of neighboring plants to each other and that allows for the transfer of information and nutrients. It is a deep-seated issue that cannot be addressed easily or individually. So, we force ourselves to get "used" to it. We talk ourselves down, we roll our eyes internally, and we try not to let it affect the relationships we are building with referring providers or with patients and their families. It hurts every time we let it go, but we resign ourselves to the fact that sometimes it's for the best. Unconscious bias is a powerful and dangerous force. We have seen how deadly it can be, with the death of George Floyd and so many before and after him, with the reckoning that our society is undergoing with the Black Lives Matter movement. Its recognition by the offender requires effort, self-awareness, and mindfulness. It takes even more energy to reverse the practice, the habit, the way of interacting with others. While women continue to interface with the spectrum of effort to noneffort toward gender equality, we understand that, in general, things are improving. Women outnumber men in medical schools. Female representation and leadership in plastic surgery is growing.The sentence that appeared in the May 2021 article was authored by three individuals and then made it past at least three reviewers and a number of other content editors. This does not represent a case of unconscious bias or microaggression. It is a blatant offense to women. It is both surprising and disappointing that it was published in our field's leading journal. We write this with a thoughtful tone of anger, despite the hesitation and consideration of softening the air. However, this is not one of those instances that calls for quiet resignation. We need to do better.