{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:56:53Z","timestamp":1777939013754,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:00Z","timestamp":1756166400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:00Z","timestamp":1756166400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Surg"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Gynecomastia is a benign, excessive development of the male breast that occurs at an overall incidence of 32% to 36%. The goals of surgical treatment are to restore the breast contour with minimal scarring and protect the areolar anatomy and sensation. Here, a new single stage technique is described where peripheral fat tissue is effectively removed using ultrasound-assisted liposuction (UAL) followed by a Dome breast lifting from the superior parabolic periareolar incision without touching the complex inferior pedicle.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective review of outcomes for 29 patients aged between 18 and 49 years with grade IIB or grade III gynecomastia who were treated with UAL and the Dome technique. Health-related quality-of-life and aesthetic outcomes were evaluated using a modified version of the Breast Evaluation Questionnaire (BEQ).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean Likert-type score (LS) increased from 1.82 (18%) preoperatively to 4.10 (81%) months postoperatively (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.05). No infection, nipple\u2013areola complex necrosis, nipple retraction, or saucer deformity was encountered.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The use of UAL and Dome technique for the treatment of severe gynecomastia allows for the effective removal of both the fat and glandular tissue of the breast through a minimal periareolar parabolic incision. This technique can achieve excellent aesthetic results with inconspicuous scarring in a single session.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14574969251363334","type":"journal-article","created":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T08:01:02Z","timestamp":1756195262000},"page":"480-487","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Dome technique: A single-stage liposuction and dermopexy treatment for high-grade gynecomastia"],"prefix":"10.1177","volume":"114","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9904-6521","authenticated-orcid":false,"given":"Umut","family":"Zereyak","sequence":"first","affiliation":[{"name":"Plastic and Reconstructive Surgery, Ba\u011fdat caddesi, Kantarc\u0131 R\u0131za Sk. No: 1, 34728 Kad\u0131k\u00f6y\/\u0130stanbul"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4068-7674","authenticated-orcid":false,"given":"Onur","family":"Aksoy","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Istanbul Bagcilar Research and Training Hospital, Merkez Mahallesi, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,26]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/andr.12636"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(11)60671-X"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.6065\/apem.2346142.071"},{"key":"e_1_3_2_5_2","article-title":"Surgical management of gynecomastia: A comprehensive review of the literature","volume":"8","author":"Holzmer SW","year":"2020","unstructured":"Holzmer SW, Lewis PG, Landau MJ, et al: Surgical management of gynecomastia: A comprehensive review of the literature. 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