A novel technique for correcting the over-corrected gynaecomastia using stacked acellular dermal matrix

Abstract

The 'saucer-shaped deformity' is the undesirable outcome following over-resection of gynaecomastia. Correction can be challenging, lipomodelling may be unfavourable or unpredictable, and autologous grafts often require additional unwanted scars. We present a case of unilateral gynaecomastia over-resection where disks of acellular dermal matrix (ADM) were interwoven in the subdermal, intrapectoral, and interpectoral planes to correct the areolar cavity. A routine review at 17 months showed maintained projection of the areola, and the patient was delighted with the natural contour.

Level of Evidence: Level V, therapeutic study.

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