CONVENTIONAL LIPOSUCTION AS A SINGLE MODALITY FOR TREATMENT OF GYNECOMASTIA, OUR CLINICAL EXPERIENCE

Abstract

Background: Gynecomastia is defined as enlargement of male breast due to benign proliferation of glandular tissue. Its incidence varies between 32 and 65%. Owing to the unfavorable shape of the chest with distorted body image, many patients seek treatment for aesthetic and psychological concerns. Due to its limited invasiveness and superior contouring results, liposuction has been the most popular surgical procedure, either alone or in combination with excisional techniques. In this study, we aim to evaluate the efficacy of liposuction alone in patients with grade I, II and III gynecomastia.

Methods: Twenty patients with gynecomastia grade 1,2 or 3 were included in this research in the period between March 2018 to March 2022. All patients were treated with liposuction alone with post-operative compression garment wearing.

Result: There were no hematoma, seroma or infection. Results were excellent in 14 patients, good in 3 patients, and inadequate in 3 patients. 2 cases of the group of inadequate result were due to residual sub areolar swelling and the other case was due to inadequate skin retraction with 85% success rate.

Conclusions: We can conclude that gynecomastia treatment with the liposuction alone produced acceptable results with minor scars, however, it should be noted that it is not suitable for all grades of gynecomastia that may need open excisional techniques.