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The mean diameter of nipple-areolar complex (NAC) is 24.3 mm (range 21 - 29 mm) in young
Korean men, and patients usually, expect the decrease of NAC after gynecomastia correction.
Therefore, the, authors studied the rate of decrease of NAC after ultrasound-assisted liposuction and
fibroglandular excision via periareolar approach. Series of 121 cases (242 NAC) were reviewed from
May to September 2007 with mean follow-up of 5 months. Inclusion criteria were the followings; 1)
NAC diameter > 30 mm, 2) Bilateral cases within 3 mm difference between right and left NACs, and
3) Patients who agreed to take photographs longer than at least 3 month after operation. The
decreased NAC ranged from 5.1% to 44.7% (mean 23.8%). The patient’s satisfaction was high, and
most of them were pleased with the decreased NAC diameter. Based on these results, we can
provide the more informations about gynecomastia to patients.
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