Join our speakers at 1PM UTC as they take us through the topic of Surgical Treatment of Gynecomastia. Come ready with questions to ask our experts directly about this topic!

Speakers: Aditya Aggarwal, MD (India), Smilja Tudjarova, MD (North Macedonia), Juan Ignacio Seiler, MD (Argentina) and Ahmad Saad, MD (United States)

Moderators: Juan E. Sierra Mejía, MD (Colombia) and Emy Hashimoto, MD (Argentina)

Lecture Topics:

1. Introduction to Anatomy, Different Grades and Different Alternatives - Aditya Aggarwal, MD (India)
2. Enlarged Breast Tissue in Men; Surgical Procedures - Smilja Tudjarova, MD (North Macedonia)
3. Gynecomastia Treatment Alternatives - Juan Ignacio Seiler, MD (Argentina)
4. Principles for Secondary Cases and Avoiding Complications - Ahmad Saad, MD (United States)

Learning Objectives

• Define gynecomastia and differentiate it from pseudogynecomastia and lipomastia.
• Understand the embryology, anatomy and hormonal physiology of the male breast, and identify common etiological factors and classification systems (e.g., Simon’s classification).
• Perform a comprehensive clinical assessment, including history, examination and relevant investigations, to select appropriate candidates for surgical correction based on severity and etiology.
• Describe different surgical approaches and techniques (liposuction, excision, combined) and discuss incision placement options (periareolar, transareolar, lateral chest).
• Demonstrate safe intraoperative techniques to minimize complications, and apply principles of postoperative care, compression garment use and scar management.
• Recognize and manage early and late complications, review aesthetic refinements and secondary correction strategies, and interpret patient expectations and counseling principles for realistic outcomes.

Suggested Reading

• Prasetyono TOH, Budhipramono AG, Andromeda I. Liposuction Assisted Gynecomastia Surgery With Minimal Periareolar Incision: a Systematic Review. Aesthetic Plast Surg. 2022 Feb;46(1):123-131.
• Ali H. Correction of Gynecomastia with Combination of Ultrasonic Liposuction (VASER) and Gland Excision through a Minimal Scar Incision: A Multi-Center Experience. Aesthetic Plast Surg. 2025 Aug;49(16):4638-4647
• Atieh B, Baajour J, El Merkabaoui H, Makkawi K. Literature Review and Evidence-Based Comparative Analysis of Traditional Suction-Assisted Lipectomy (SAL) vs. Ultrasound-Assisted Liposuction (UAL) Reported Outcomes. Aesthetic Plast Surg. 2025 Aug;49(16):4648-4655
• Hurwitz DJ, Davila AA. Contemporary Management of Gynecomastia. Clin Plast Surg. 2022 Apr;49(2):293-305
• Frigerio G, Serre A, Engels PE, Kalbermatten DF, André-Lévigne D. Available techniques to minimize scars in surgical management of gynecomastia - a comprehensive review. JPRAS Open. 2024 Sep 18;42:256-267.