Improved Gynecomastia Surgery: Power-Assisted Liposuction With Stab-Flatten Technique Without Resection.

Area of Science:

• Plastic Surgery
• Surgical Techniques

Background:

• Gynecomastia, or enlarged male breast tissue, negatively impacts physical and psychological well-being.
• Surgical interventions are common for reducing glandular and fatty tissue in gynecomastia.
• Existing techniques for gynecomastia treatment have limitations in precision and cosmetic outcomes.

Purpose of the Study:

• To introduce and evaluate an innovative surgical method for gynecomastia treatment.
• To assess the effectiveness of combining power-assisted liposuction with the stab-flatten technique.
• To analyze patient satisfaction and cosmetic results following the combined surgical approach.

Main Methods:

• A cohort of 128 gynecomastia patients underwent the combined procedure between June 2021 and January 2023.
• The technique involved power-assisted liposuction and the stab-flatten method through a single axillary incision.
• Patient data, including surgery duration, complications, and BODY-Q scores, were collected and analyzed.

Main Results:

• The study included 128 male patients (252 breasts treated), with an average age of 35 and BMI of 27.7 kg/m².
• Average fat removal was 224.5 mL, with a mean surgery duration of 147 minutes and a low complication rate of 2.0%.
• Significant improvements in appearance satisfaction and quality of life were reported, with reduced appearance-related distress.

Conclusions:

• The combined power-assisted liposuction and stab-flatten technique is effective for gynecomastia management.
• This synergistic approach yields aesthetically pleasing outcomes.
• The method minimizes surgical risks compared to traditional gynecomastia treatments.