Peri-areolar double-pedicle technique in the treatment of iatrogenic gynecomastia

- Hormonal therapy after prostate cancer of the 65 year old patient with gynecomastie grade 3. Preoperative marking: point A: reference point on the mid-clavicle about 6 cm from the medial clavicular end; point A-C: a line from the clavicle reference point down to the infra-mammary crease, passing through the nipples; point C: the new nipple site, with a 3-cm areolar diameter, was marked at 16 cm below the reference point on the vertical lines. Skin sensation in the peri-areolar area is evaluated using the pinch test technique; point D: a circular peri-areolar marking was performed, corresponding to the cutaneous region to be resected, a skin incision of about 3 mm was made at 3 o’clock and 9 o’clock. We used a 2-mm cannula to infiltrate the subcutaneous tissue with a mixture of one litre of normal saline, one milligram of adrenaline and 20 millilitres of 1% lidocaine.