{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T15:44:49Z","timestamp":1775576689280,"version":"3.50.1"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T00:00:00Z","timestamp":1690502400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Aim and objectives\u2003The aim of this study is to propose a new clinical classification for gynecomastia management based on our experience.<\/jats:p><jats:p>\n          Introduction\u2003We believe that the prevalent gynecomastia classifications need to be more detailed. Several key aspects that we noticed have either been incompletely represented or not mentioned at all, leaving them unclassified.<\/jats:p><jats:p>\n          Materials and Methods\u2003This study was conducted at the authors' center over 24 months from May 2020 to May 2022, and included 1,571 patients who were classified and treated as per our new classifications and small iterations were done to strengthen the classification.<\/jats:p><jats:p>\n          Results\u2003We were able to better classify our patients and previously unclassified situations. Skin sagging or a potential for skin sagging and puffy nipples were managed better. This classification allowed recommendation of each step of the procedure, resulting in high patient satisfaction, as all problem areas were sorted and outcome that was explained to them preoperatively was clearly visible postoperatively.<\/jats:p><jats:p>\n          Conclusion\u2003The new clinical classification for gynecomastia is a simple, clinical, straightforward, comprehensive, grading system, the use of which has helped the authors and the team in achieving precise and predictable results while ensuring patient satisfaction.<\/jats:p>","DOI":"10.1055\/s-0043-1770963","type":"journal-article","created":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T22:59:59Z","timestamp":1690585199000},"page":"332-337","source":"Crossref","is-referenced-by-count":6,"title":["A New Clinical Classification for Gynecomastia Management and Predictive Outcome"],"prefix":"10.1055","volume":"56","author":[{"given":"Sudhanshu","family":"Punia","sequence":"additional","affiliation":[{"name":"Divine Cosmetic Surgery, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amit","family":"Gupta","sequence":"additional","affiliation":[{"name":"Divine Cosmetic Surgery, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,7,28]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.asj.2008.11.003","article-title":"A new classification and treatment protocol for gynecomastia","volume":"29","author":"B V Ratnam","year":"2009","journal-title":"Aesthet Surg J"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"629673","DOI":"10.3389\/frph.2021.629673","article-title":"The impact and management of gynaecomastia in Klinefelter syndrome","volume":"3","author":"A A Raheem","year":"2021","journal-title":"Front Reprod Health"},{"issue":"11","key":"ref3","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1038\/nrendo.2014.139","article-title":"Gynaecomastia: pathophysiology, diagnosis and treatment","volume":"10","author":"H S Narula","year":"2014","journal-title":"Nat Rev Endocrinol"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1007\/s00266-010-9618-3","article-title":"Surgical correction of gynecomastia in thin patients","volume":"35","author":"E Cigna","year":"2011","journal-title":"Aesthetic Plast Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"69","DOI":"10.4103\/2394-7438.182726","article-title":"Gynecomastia: a review of literature","volume":"2","author":"R Arya","year":"2016","journal-title":"MAMC J Med Sci"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1097\/00006534-197301000-00009","article-title":"Classification and surgical correction of gynecomastia","volume":"51","author":"B E Simon","year":"1973","journal-title":"Plast Reconstr Surg"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1097\/01.PRS.0000042146.40379.25","article-title":"Classification and management of gynecomastia: defining the role of ultrasound-assisted liposuction","volume":"111","author":"R J Rohrich","year":"2003","journal-title":"Plast Reconstr Surg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1136\/bmj.39511.493391.BE","article-title":"Gynaecomastia and breast cancer in men","volume":"336","author":"C B Niewoehner","year":"2008","journal-title":"BMJ"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1590\/S1516-31802012000300009","article-title":"Gynecomastia: physiopathology, evaluation and treatment","volume":"130","author":"A C Barros","year":"2012","journal-title":"Sao Paulo Med J"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1097\/PRS.0b013e3181881df4","article-title":"Pseudogynecomastia after massive weight loss: detectability of technique, patient satisfaction, and classification","volume":"122","author":"J A Gusenoff","year":"2008","journal-title":"Plast Reconstr Surg"},{"issue":"09","key":"ref11","first-page":"489","article-title":"Anabolizantes esteroideos y ginecomastia. Revision de la literatura","volume":"18","author":"D A de Luis","year":"2001","journal-title":"An Med Interna"}],"container-title":["Indian Journal of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1770963.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T23:20:13Z","timestamp":1694560813000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1770963"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,28]]},"references-count":11,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2023,9,12]]},"published-print":{"date-parts":[[2023,8]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1770963","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0970-0358","1998-376X"],"issn-type":[{"value":"0970-0358","type":"print"},{"value":"1998-376X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,28]]}}}