Combined approach for gynecomastia

Area of Science:

• Plastic Surgery
• Surgical Techniques
• Male Aesthetic Procedures

Background:

• Gynecomastia, a male chest deformity, has varied treatment options.
• Treatments range from surgical excision to liposuction or a combination.
• Skin excision is tailored to the grade of gynecomastia.

Purpose of the Study:

• To describe the experience of using liposuction as an adjuvant to surgical excision for gynecomastia.
• To evaluate the efficacy and safety of this combined approach.

Main Methods:

• 14 male patients with gynecomastia underwent treatment between September 2012 and April 2015.
• A combination of liposuction and surgical excision via periareolar incision was performed.
• Preoperative evaluations excluded underlying causes of gynecomastia.

Main Results:

• All 14 patients (28 breast tissues) were treated bilaterally, aged 13-33 years.
• Patient grades ranged from I to III.
• Complications included seroma (3 patients), superficial epidermolysis (2 patients), and superficial infection (1 patient).

Conclusions:

• The combined approach effectively managed all grades of gynecomastia.
• Skin excision was reserved for severe cases with significant skin excess.
• No patients required revision surgery or sought a second opinion.