{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T04:04:32Z","timestamp":1780113872116,"version":"3.54.0"},"reference-count":32,"publisher":"Japan Society of Plastic and Reconstructive Surgery","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPRS"],"published-print":{"date-parts":[[2026,5,27]]},"DOI":"10.53045\/jprs.2024-0084","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T22:08:06Z","timestamp":1760738886000},"page":"158-168","source":"Crossref","is-referenced-by-count":0,"title":["Circumareolar Skin Reduction versus Long Scar in Surgical Treatment of High-Grade Gynecomastia"],"prefix":"10.53045","volume":"5","author":[{"given":"Ahmed","family":"El Shamy","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Menoufia University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayman","family":"Omar","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Faculty of Medicine, Menoufia University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dalia","family":"El Sakka","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Faculty of Medicine, Menoufia University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"El Nahas","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Faculty of Medicine, Menoufia University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"31107","reference":[{"key":"1","doi-asserted-by":"crossref","unstructured":"1. Cuhaci N, Polat SB, Evranos B, et al. Gynecomastia: clinical evaluation and management. Indian J Endocrinol Metab. 2014; 18 (2): 150-8.","DOI":"10.4103\/2230-8210.129104"},{"key":"2","unstructured":"2. Abdelaal MH, Ahmed MR, Elsayed MOM. Diagnostic and surgical approach to gynecomastia: a comprehensive review. Med J. 2024; 30 (1.6): 2799-806."},{"key":"3","doi-asserted-by":"crossref","unstructured":"3. Brown RH, Chang DK, Siy R, et al. Trends in the surgical correction of gynecomastia. Semin Plast Surg. 2015; 29 (2): 122-30.","DOI":"10.1055\/s-0035-1549053"},{"key":"4","unstructured":"4. Soliman AT, De Sanctis V, Yassin M. Management of adolescent gynecomastia: an update. Acta Biomed. 2017; 88 (2): 204-13."},{"key":"5","doi-asserted-by":"crossref","unstructured":"5. Holzmer SW, Lewis PG, Landau MJ, et al. Surgical management of gynecomastia: a comprehensive review of the literature. Plast Reconstr Surg Glob Open. 2020; 8 (10): e3161.","DOI":"10.1097\/GOX.0000000000003161"},{"key":"6","doi-asserted-by":"crossref","unstructured":"6. Ibrahiem SMS. Severe gynecomastia: new technique using superior pedicle NAC flap through a circumareolar approach. Ann Plast Surg. 2016; 76 (6): 645-51.","DOI":"10.1097\/SAP.0000000000000229"},{"key":"7","doi-asserted-by":"crossref","unstructured":"7. Yehia MA, Tawfik H, Abdewahab M, et al. Medial pedicle reduction mammoplasty in macromastia. Benha Med J. 2021; 38: 1019-41.","DOI":"10.21608\/bmfj.2021.17254.1070"},{"key":"8","doi-asserted-by":"crossref","unstructured":"8. Elghotmy MH. Surgical intervention using ellipse technique in treatment of gynecomastia. Int Surg J. 2019; 6 (12): 4253-60.","DOI":"10.18203\/2349-2902.isj20195383"},{"key":"9","doi-asserted-by":"crossref","unstructured":"9. Fikry A, Nasr M. Surgical management of high grade gynecomastia: combination of liposuction, glandular resection and a circumareolar skin reduction. Egypt J Plast Reconstr Surg. 2020; 42 (2): 323-9.","DOI":"10.21608\/ejprs.2020.79722"},{"key":"10","doi-asserted-by":"crossref","unstructured":"10. Tolba AM, Nasr M. Surgical treatment of gynaecomastia: A prospective study in 75 patients. Surg Sci. 2015; 6 (11): 506-17.","DOI":"10.4236\/ss.2015.611073"},{"key":"11","doi-asserted-by":"crossref","unstructured":"11. Rew L, Young C, Harrison T, et al. A systematic review of literature on psychosocial aspects of gynecomastia in adolescents and young men. J Adolesc. 2015; 43: 206-12.","DOI":"10.1016\/j.adolescence.2015.06.007"},{"key":"12","doi-asserted-by":"publisher","unstructured":"12. Ordaz DL, Thompson JK. Gynecomastia and psychological functioning: a review of the literature. Body Image. 2015; 15: 141-8.","DOI":"10.1016\/j.bodyim.2015.08.004"},{"key":"13","doi-asserted-by":"crossref","unstructured":"13. Arslan SC, Esin IS, Cay\u0131r A, et al. The relationship between psychopathology, self-esteem, body perception and serum sex steroids in pubertal gynecomastia. Clin Psychopharmacol Neurosci. 2021; 19 (3): 498-506.","DOI":"10.9758\/cpn.2021.19.3.498"},{"key":"14","doi-asserted-by":"crossref","unstructured":"14. Lorek M, Tobolska-Lorek D, Kalina-Faska B, et al. Clinical and biochemical phenotype of adolescent males with gynecomastia. J Clin Res Pediatr Endocrinol. 2019; 11 (4): 388-94.","DOI":"10.4274\/jcrpe.galenos.2019.2019.0027"},{"key":"15","doi-asserted-by":"crossref","unstructured":"15. Narula HS, Carlson HE. Gynaecomastia-pathophysiology, diagnosis, and treatment. Nat Rev Endocrinol. 2014; 10 (11): 684-98.","DOI":"10.1038\/nrendo.2014.139"},{"key":"16","doi-asserted-by":"crossref","unstructured":"16. Nuzzi LC, Firriolo JM, Pike CM, et al. The effect of surgical treatment for gynecomastia on quality of life in adolescents. J Adolesc Health. 2018; 63 (6): 759-65.","DOI":"10.1016\/j.jadohealth.2018.06.028"},{"key":"17","doi-asserted-by":"crossref","unstructured":"17. Kasielska-Trojan A, Antoszewski B. Gynecomastia surgery-impact on life quality: a prospective case-control study. Ann Plast Surg. 2017; 78 (3): 264-8.","DOI":"10.1097\/SAP.0000000000000860"},{"key":"18","doi-asserted-by":"crossref","unstructured":"18. Tashkandi M, Al-Qattan MM, Hassanain JM, et al. The surgical management of high-grade gynecomastia. Ann Plast Surg. 2004; 53 (1): 17-21.","DOI":"10.1097\/01.sap.0000112347.30612.f4"},{"key":"19","doi-asserted-by":"crossref","unstructured":"19. Thi\u00e9not S, Bertheuil N, Carloni R, et al. Postero-inferior pedicle surgical technique for the treatment of grade III gynecomastia. Aesthetic Plast Surg. 2017; 41 (3): 531-41.","DOI":"10.1007\/s00266-017-0810-6"},{"key":"20","doi-asserted-by":"crossref","unstructured":"20. Selim IM, Hamza FA, Meky MSA. Comparative study between circum-areolar skin reduction and standard long scar techniques for treatment of severe degrees of gynaecomastia after massive weight loss. Egypt J Hosp Med. 2019; 77 (5): 5597-610.","DOI":"10.21608\/ejhm.2019.61474"},{"key":"21","doi-asserted-by":"crossref","unstructured":"21. Hardy KL, Stark R, Small KH, et al. An alternative treatment of pseudogynecomastia in male patients after massive weight loss. Aesthet Surg J Open Forum. 2020; 2 (2): ojaa013.","DOI":"10.1093\/asjof\/ojaa013"},{"key":"22","doi-asserted-by":"crossref","unstructured":"22. Chandawarkar RY. Body contouring following massive weight loss resulting from bariatric surgery. Adv Psychosom Med. 2006; 27: 61-72.","DOI":"10.1159\/000090964"},{"key":"23","doi-asserted-by":"crossref","unstructured":"23. Barone M, Cogliandro A, Tsangaris E, et al. Treatment of severe gynecomastia after massive weight loss: analysis of long-term outcomes measured with the Italian version of the BODY-Q. Aesthetic Plast Surg. 2018; 42 (6): 1506-18.","DOI":"10.1007\/s00266-018-1232-9"},{"key":"24","doi-asserted-by":"crossref","unstructured":"24. Gheita A, Atiyeh BS. Body contouring following bariatric surgery and massive weight loss. Atiyeh B, Costagliola M, editors. Sharjah, United Arabs Emirates: Bentham Science Publishers; 2012. Gynecomastia and male chest contouring; p. 112-20.","DOI":"10.2174\/978160805238711201010112"},{"key":"25","doi-asserted-by":"crossref","unstructured":"25. Abd Ellatef TE, Awad MS, Nasr MA, et al. Management of post-bariatric gynecomastia in Zagazig University Hospitals. Egypt J Hosp Med. 2022; 89 (1): 4998-5002.","DOI":"10.21608\/ejhm.2022.260872"},{"key":"26","doi-asserted-by":"crossref","unstructured":"26. Lemaine V, Cayci C, Simmons PS, et al. Gynecomastia in adolescent males. Semin Plast Surg. 2013; 27 (1): 56-61.","DOI":"10.1055\/s-0033-1347166"},{"key":"27","doi-asserted-by":"crossref","unstructured":"27. Lapid O, Jolink F. Surgical management of gynecomastia: 20 years&apos; experience. Scand J Surg. 2014; 103 (1): 41-5.","DOI":"10.1177\/1457496913496359"},{"key":"28","doi-asserted-by":"crossref","unstructured":"28. Paolini G, Firmani G, Briganti F, et al. Guiding nipple-areola complex reconstruction: literature review and proposal of a new decision-making algorithm. Aesthetic Plast Surg. 2021; 45 (3): 933-45.","DOI":"10.1007\/s00266-020-02047-9"},{"key":"29","unstructured":"29. Jay T, Segwapa K. The circumareolar approach to gynecomastia and transgender surgery: modifications to provide correct nipple areolar complex position and shape. S Afr J Surg. 2017; 55 (1): 16-20."},{"key":"30","doi-asserted-by":"crossref","unstructured":"30. Persichetti P, Berloco M, Casadei RM, et al. Gynecomastia and the complete circumareolar approach in the surgical management of skin redundancy. Plast Reconstr Surg. 2001; 107 (4): 948-54.","DOI":"10.1097\/00006534-200104010-00007"},{"key":"31","unstructured":"31. Magdy A. A limited scar approach to massive gynecomastia. Egypt J Plast Reconstr Surg. 2008; 32: 229-35."},{"key":"32","doi-asserted-by":"crossref","unstructured":"32. Gra\u00e7a Neto L, Koteski R, Gra\u00e7a ACM. Surgical treatment of grade III gynecomastia with the horizontal scar technique and transposition of the nipple-areolar complex - &quot;No vertical scar&quot;. Rev Bras Cir Plast. 2023; 38 (3): e0793.","DOI":"10.5935\/2177-1235.2023RBCP0793-PT"}],"container-title":["Journal of Plastic and Reconstructive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/jprs\/5\/3\/5_2024-0084\/_pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T03:32:03Z","timestamp":1780111923000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/jprs\/5\/3\/5_2024-0084\/_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,27]]},"references-count":32,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.53045\/jprs.2024-0084","relation":{},"ISSN":["2436-259X"],"issn-type":[{"value":"2436-259X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,27]]},"article-number":"2024-0084"}}