Single Stage Correction of Gynecomastia: Liposuction & Glandular Excision

Abstract

Objective: To determine the frequency of complications after single stage correction of gynecomastia, along with level of satisfaction in patients and surgeon 4 weeks post operatively

Study Design:  Prospective cohort study.

Place and Duration of Study: This study was conducted at the Department of Plastic Surgery, Liaquat National Hospital, Karachi from April 2014 to March 2017.

Material and Methods: Informed consent was taken from all patients enrolled. The surgical technique consisted of liposuction and excision of the glandular tissue by minimal Periareolar incision. Skin excision was done where needed. Post operatively, patients were followed for complication rate and 4 weeks postoperatively both patient and surgeon were asked to grade their level of satisfaction.

Results:  26 patients were enrolled and analyzed. Over all, complication rate was 15% (4/26). One developed hematoma for which he required re-operation, one had irregularities and two had flattening of chest. Patient Satisfaction was 85% & Surgeons Satisfaction was 87%.

Conclusion: Liposuction along with glandular & skin excision decreases post-op nipple projection and have aesthetically pleasing results with a low rate of complications and excellent patient & surgeon’s satisfaction.