Description

Ciancio et al reported a classification system for gynecomastia based on surgical management. Surgery should provide a suitable chest contour relative to the patient's chest appearance. The authors are from the University of Bari, Careggi Universital Hospital and University of Foggia in Italy.


Patient selection: male with gynecomastia

 

Parameters:

(1) body mass index (BMI) in kg per square meter

(2) physique

 

Body Mass Index

Physique

Group

< 25

athletic, high muscle mass, low body fat (< 9%)

A

< 25

not particularly muscular

B

>= 25

NA

C

 

A patient in Group A requires an adipocutaneous flap that is as thin as possible to achieve the maximum contouring of the pectoralis area.


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