Central Pedicled Breast Reduction Technique in Male Patients After Massive Weight Loss

Abstract  Male patients after massive weight loss often suffer from redundant skin and soft tissue in the anterior and lateral chest
region, causing various deformities of pseudogynecomastia. Techniques with free or pedicled nipple–areola complex (NAC) transposition
are widely accepted. The authors present their approach to male breast reduction with preservation of the NAC on a central
dermoglandular pedicle and a wide elliptical tissue excision of breast and lateral thorax tissue in combination with liposuction.
Male breast reduction was performed on patients after moderate to massive weight loss due to diet or bariatric procedures.
Former procedures included free nipple–areola grafts or inferior pedicled techniques for NAC preservation. As a modification,
we performe…