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Abstrato

A Case Report and Study Review on Applying the Passot Technique in the Surgical Treatment of Severe Gynecomastia

Shani Singh

Teenagers' gynecomastia is becoming a significant cosmetic and physiological problem, particularly in the context of obesity, abrupt weight reduction following surgery, and other endocrine disorders. Surgery may involve nipple-conserving subcutaneous mastectomies with liposuction, power- or ultrasound-assisted mastectomies, or nipple transpositions using a variety of methods. In order to address the persistent problem of unsightly scarring, which manifests as obvious scar hypertrophy and nipple necrosis, various methods of nipple transposition have been developed, ranging from free grafts to pedicled flaps. In this case report, we call attention to an antiquated procedure that was used mostly for reduction mammoplasty on female patients back in the day and was first published by Passot in 1925. We would like to emphasise that this technique is still not utilised in gynecomastia surgery as commonly as the Wise pattern mastopexy procedure. That by employing this method and avoiding a vertical scar, patients with Simon IIB/III and ptotic gynecomastia would have superior cosmetic results.