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Gynecomastia Surgery glossary

Plain-English definitions of 15 medical and surgical terms that come up in consultations and clinic letters.

15 clinical terms explained

Male Breast Reduction
Combined surgical procedure pairing liposuction of the outer chest with direct excision of the firm subareolar breast gland.
Webster Peri-Areolar Incision
Curved surgical opening along the lower edge of the dark skin of the areola, allowing the surgeon to lift out the dense glandular disc.
Pull-Through Gland Excision
Technique that frees and removes fibrous breast tissue through a tiny keyhole opening after chest liposuction.
Tumescent Local Anaesthetic
Sterile fluid containing diluted local anaesthetic and adrenaline infiltrated into the chest tissue to numb the area and limit bruising.
Pectoral Fascia Plane
The tough silvery membrane covering the pectoralis major muscle, which forms the deep floor of a male chest reduction.
Saucer (Crater) Deformity
An inward dip of the nipple caused by removing too much tissue directly under the areola without feathering the surrounding fat.
Simon Grade I, IIa, IIb & III
Standard clinical scale matching chest size and skin laxity to the right operation, from gland excision alone to skin-tightening techniques.
Skin Retraction
The natural tightening of the chest skin onto the flatter pectoral contour over the 3 to 6 months after gland and fat removal.
Donut (Circumareolar) Skin Tightening
Removing a ring of loose skin around the outside of the areola for Grade IIb chests with mild skin excess.
Post-Surgical Compression Garment
Medical-grade elastic vest worn under clothing for 4 to 6 weeks to support the healing skin and limit swelling.
Axillary Tail (Spence's Tail)
Extension of fatty and glandular tissue toward the front of the armpit, contoured during surgery so the side of the chest lies smooth.
Criss-Cross Cannula Feathering
Passing a fine liposuction cannula in two directions across the chest edges so the transition to the ribs and sternum looks natural.
Subcutaneous Scar Induration
Normal firm healing tissue felt beneath the nipple between week 3 and week 12, which softens gradually over 4 to 6 months.
Histopathology Examination
Routine laboratory check of the excised breast tissue when requested by the surgeon to confirm benign ductal tissue.
Day-Case Surgical Admission
Hospital or surgical clinic pathway where you arrive in the morning, have the procedure, and go home with a companion the same day.

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