No-Drain Single Incision Liposuction Pull-Through Technique for Gynecomastia

Area of Science:

• Plastic Surgery
• Surgical Techniques

Background:

• Gynecomastia treatment varies based on breast enlargement and skin redundancy.
• The liposuction pull-through technique is a proposed efficacious treatment for gynecomastia.

Purpose of the Study:

• To evaluate the outcome of the liposuction pull-through technique as an outpatient procedure.
• To assess the efficacy of a single-incision, drain-free approach for gynecomastia treatment.

Main Methods:

• Fifty-two patients with bilateral gynecomastia and no significant skin excess were enrolled.
• The liposuction pull-through technique was performed via a single incision above the inframammary fold.
• No drains were used, and patients were followed for 6 months.

Main Results:

• The technique successfully treated gynecomastia in all patients.
• A low revision rate of 1.9% was observed for residual glandular tissue removal.
• No seromas, hematomas, nipple distortion, sensory issues, or wound healing problems occurred.

Conclusions:

• The liposuction pull-through technique is effective for gynecomastia without significant skin redundancy.
• This method combines direct glandular tissue excision with minimally invasive liposuction benefits.
• A single-incision, drain-free procedure without general anesthesia is a safe alternative treatment.