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. 2019 Dec 26;19:515. doi: 10.1186/s12887-019-1887-7

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© The Author(s). 2019

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 2 — Operative design and postoperative photos of the patient with severe gynecomastia. a Preoperative design photo. The red-hatched area was de-epithelized to preserve the pedicle toward the nipple areolar area. b, c Right and left breasts. d Immediate postoperative photo. Purse-string suture was used to reduce the volume of the breast skin flap to a circular shape