Redefining Gynecomastia Surgery: Subtle Changes and Naturalistic Results.

Area of Science:

• Plastic Surgery
• Surgical Techniques
• Male Breast Reduction

Background:

• Gynecomastia, or male breast enlargement, is commonly treated with liposuction and glandular excision.
• Traditional methods often preserve a glandular pad, potentially leading to nipple prominence.
• A refined technique omits gland preservation for better aesthetic outcomes.

Purpose of the Study:

• To evaluate clinical outcomes of a modified gynecomastia correction protocol.
• The protocol emphasizes aesthetic contouring and avoids skin excision.
• The study assesses a technique that omits gland preservation under the nipple-areola complex (NAC).

Main Methods:

• A retroprospective study of 65 patients (Simon's Grades I-III) between 2015-2025.
• Procedures involved circumferential liposuction and avulsion of glandular tissue without NAC gland preservation.
• Focus on tailored liposuction zones and effective skin redraping without skin excision.

Main Results:

• Over 90% of patients reported satisfactory aesthetic outcomes.
• No major complications like hematoma, seroma, infection, or recurrence were observed.
• High patient satisfaction reported, with minor self-limiting post-operative events.

Conclusions:

• The modified technique offers a reliable, minimal scar alternative for gynecomastia correction.
• Omitting gland preservation and tailored liposuction zones enhance contouring and reduce recurrence.
• This approach challenges conventional methods for male breast reduction.