Gynecomastia and pseudogynecomastia. Analysis of 106 patientsBackground: Gynecomastia is common among men.Pseudogynecomastia, caused by an increased subcutaneous fat in the mammary area, can be confused with gynecomastia.Aim: To report the experience with the surgical treatment of both.Material and Methods: Review of medical records of 106 patients, aged 15 to 50 years, operated.Results: Thirty two percent of patients had a pure gynecomastia, 30% had pseudogynecomastia, and 39% had both conditions.All were mild or moderate.A mastectomy plus liposuction was performed in 50% of patients, solely mastectomy in 26% and solely liposuction in 23%.Four percent had surgical complications such as hematomas or ecchymoses.Conclusions: The surgical treatment of gynecomastia requires liposuction in most patients to achieve a good result.