Introduction: Gynecomastia is a common disorder. Its
management presents several problems such as; excision
of excess breast tissue, management of skin excess and the
new position of the areola particularly in class II and III
cases.
Material and Methods: This work presents a Quadruple
attack to this problem which consists of liposuction, open
excision of the glandular disc, undermining of inframammary
fold and peri areolar skin excision. This technique was applied
to 18 cases.
Results: Surgical follow-up varied from a minimum of 6
months to a maximum of 2 years, with an average of 1 year.
With minimal complication rate (11%) all of them are minor
complications: Seroma, delayed wound healing and obvious
scar. The aesthetic results were satisfactory to both patient
and doctor.
Conclusion: Quadruple attack is a new surgical technique
which is simple, reliable and easily attained by young surgeons.
Nevertheless, it has good results with less complication rate.