Evidence map›Paper›PMID 42919991›Full record

ReviewAesthetic plastic surgery2026

Gynecomastia Donut Excision Technique Description and Review of Literature.

Khalid Arab, Abdulaziz Alsuhaim, Lama A Alkhwildi, Mohammed Naif Alsubhi, Yara K Alwathnani, Abdulltaif Altalhah

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In one paragraph

Review in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Khalid ArabDivision of Plastic surgery, Department of surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Abdulaziz AlsuhaimCollege of Medicine, King Saud University, Riyadh, Saudi Arabia.
Lama A AlkhwildiCollege of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia.
Mohammed Naif AlsubhiCollege of Medicine, King Saud University, Riyadh, Saudi Arabia. Mohammedn.alsubhi@gmail.com.ORCID http://orcid.org/0009-0000-8706-8048
Yara K AlwathnaniCollege of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia.
Abdulltaif AltalhahCollege of Medicine, King Saud University, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGynecomastia is benign enlargement of male breast tissue that may cause psychological distress and aesthetic concerns. Surgical correction can be complicated by scarring, contour irregularities, and nipple-areolar complex (NAC) deformity.

methodsThis article presents a narrative review and describes a surgical technique involving preoperative marking, VASER-assisted liposuction, circumferential de-epithelialization, controlled glandular excision, preservation of dermoglandular tissue beneath the NAC, and staged closure.

resultsThe described approach combines contouring with preservation of NAC support and a staged closure intended to distribute tension. The photographs illustrate preoperative and postoperative appearances; comparative effectiveness, complication rates, and long-term outcomes have not been established.

conclusionsDonut excision with dermoglandular preservation and staged closure is a described approach to gynecomastia correction. Comparative studies with longer follow-up and standardized patient-reported outcomes are needed to evaluate its safety and aesthetic benefits. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .

Indexed as

Aesthetic chest contouringAreolar donut techniqueDonut excision techniqueGynecomastiaMale breast reductionPeriareolar (concentric) excision

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.