Body contouring: gynecomastia.

The male patient's degree of breast sagging is the guideline that this author uses to determine the correct surgical approach to gynecomastia. When the patient has no sagging, a small infraareolar incision suffices. With significant sagging, alternative incisions are usually necessary for skin excision and areolar repositioning. Adjunctive lipoplasty is recommended to facilitate correction, improve results, and decrease morbidity and complications.