{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T07:02:41Z","timestamp":1767855761461,"version":"3.49.0"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2022,3,28]],"date-time":"2022-03-28T00:00:00Z","timestamp":1648425600000},"content-version":"vor","delay-in-days":1062,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,5,15]],"date-time":"2019-05-15T00:00:00Z","timestamp":1557878400000},"content-version":"tdm","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>\n          Background  Gynecomastia is a common condition that can cause severe emotional and physical distress in both young and older men. Patients in whom symptomatic recalcitrant gynecomastia persists for a long time are potential candidates for surgery.<\/jats:p><jats:p>\n          Methods  From January 2014 to January 2016, 15 patients underwent correction of gynecomastia through a single 3-mm incision at our institution. Only patients with true gynecomastia underwent surgery with this new technique. Through the small incision, sharp dissection was performed in a clockwise and counterclockwise direction describing two half-circles. Health-related quality of life and aesthetic outcomes were evaluated using a modified version of the Breast Evaluation Questionnaire (BEQ).<\/jats:p><jats:p>\n          Results  The patients\u2019 average age was 23.5 years (range, 18\u201328 years), and their average body mass index was 23.2 kg\/m2 (range, 19.2\u201325.3 kg\/m2). One case was unilateral and 14 cases were bilateral. The weight of glandular tissue resected from each breast ranged from 80 to 170 g. No excess skin was excised. Bleeding was minimal. The mean operating time was 25 minutes (range, 21\u201340 minutes). No complications were recorded. All lesions were histologically benign. The patients\u2019 average score was 3.5 (on a 5-point Likert scale) in all domains of the BEQ for themselves and their partners.<\/jats:p><jats:p>\n          Conclusions  In this study, we demonstrated the safety and reliability of a new technique that allows mastectomy through an imperceptible 3-mm incision. We obtained high patient satisfaction scores using our surgical technique, and patients reported considerable improvement in their social, physical, and psychological well-being after surgery.<\/jats:p>","DOI":"10.5999\/aps.2018.00472","type":"journal-article","created":{"date-parts":[[2019,5,17]],"date-time":"2019-05-17T00:21:46Z","timestamp":1558052506000},"page":"221-227","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["The round-the-clock technique for correction of gynecomastia"],"prefix":"10.1055","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9155-7469","authenticated-orcid":false,"given":"Mauro","family":"Tarallo","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Sapienza University, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3014-2419","authenticated-orcid":false,"given":"Giuseppe","family":"Di Taranto","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Sapienza University, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7695-6215","authenticated-orcid":false,"given":"Nefer","family":"Fallico","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Sapienza University, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1844-7850","authenticated-orcid":false,"given":"Diego","family":"Ribuffo","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Sapienza University, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,3,28]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"638e","DOI":"10.1097\/PRS.0000000000003059","article-title":"Gynecomastia classification for surgical management: a systematic review and novel classification system","volume":"139","author":"D Waltho","year":"2017","journal-title":"Plast Reconstr Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1007\/s00266-006-0180-y","article-title":"Correction of gynecomastia through a single puncture incision","volume":"31","author":"HA Mentz","year":"2007","journal-title":"Aesthetic Plast Surg"},{"key":"ref3","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 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