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Short-scar Excision Combined with Ultrasound-assisted Liposuction for Gynecomastia: A Prospective Pilot Study of an
Adnan G Gelidan1, Hatan Mortada2,3, Hisham Alghamdi1
1From the Division of Plastic Surgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Background:
Gynecomastia often causes psychological distress and impairs quality of life. Traditional surgery can leave visible scars. Advances now allow less invasive techniques. This study presented a novel short-scar approach combining crescent excision and ultrasound-assisted liposuction to address both functional and aesthetic concerns.
Methods:
This prospective pilot study included 15 adult male patients undergoing short-scar gynecomastia repair from January to December 2020. Inclusion criteria were grade 2B-3 gynecomastia of more than 1-year duration, unresponsive to medical therapy. Outcomes included operative time, liposuction/excision volumes, scarring, complications, satisfaction, and recurrence over 3-12 months.
Results:
The mean age was 30.2 ± 7.6 years. The average operative time was 123 ± 50 minutes. Mean liposuction per side was 575 ± 125 mL, and mean glandular excision was 59 ± 51 g. Mean skin excision diameter was 4.0 ± 0.8 cm. There were no major complications. All patients reported high satisfaction at a mean follow-up of 6.8 ± 2.6 months.
Conclusions:
This pilot study supported the short-scar plus ultrasound-assisted liposuction technique as a safe and effective option for gynecomastia management. The method allows for minimal scarring, efficient surgery, and high patient satisfaction. Further research is needed to confirm long-term benefits.
