Pull-through : a new technique for breast reduction in gynecomastia

This paper reports a new technique for breast reduction in gynecomastia, removing the glandular parenchyma by pulling it through two incisions previously made for liposuction. These incisions are localized in the anterior axillary pilar area and on the right side of the inframammary fold. No complications have been reported in the 6-month follow-up visits of 11 patients. The technique makes it possible to eliminate the incision in the areolar area, avoiding its related complications. The advantage of this technique is that it removes the breast parenchyma without leaving any scars in the breast aesthetic unit, which, from a psychological point of view, has been greatly appreciated by our patients.