Background and objective.

Correction of gynecomastia is among the most requested cosmetic surgeries by male patients. The main complication of this procedure is postoperative hematoma.

We describe the use of a percutaneous hemostatic network to reduce the incidence of postoperative hematoma, without the use of drains.

Methods.

Thirteen patients were evaluated, aged between 15 and 59 years, in a total of 25 breasts. The hemostatic net was performed in the upper, lower and areolar segments, with 2.0 or 3.0 Prolene with a cylindrical needle, after hemostasis, before closing the adenectomy incision, therefore under direct vision. Drains were not used in any of the patients in this series. The mesh was removed between 48 and 96 hours.

Results.

Of the total of 25 breasts, only 1 had a hematoma, limited to the retro-areolar region, which was the first case in this series in which the mesh was not performed in the areolar segment. Net did not produced any sequel scar (skin marks) not pigmentation at the needle transfixation sites.

Conclusions.

In our experience, the use of the hemostatic net was an additional procedure to the treatment of gynecomastia, having been efficient in the prevention of postoperative hematoma.

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