Aesthetic Outcome of Gynecomastia Management with Conventional Liposuction and Cross-Chest Liposuction: A Prospective Comparative Study

Abstract

Background Liposuction is the most accepted technique for treatment of gynecomastia at present with or without residual gland tissue excision. Conventional liposuction uses incisions for introduction of cannula, made usually at the inframammary crease or axilla resulting in consequent scars. Cross-chest liposuction technique was introduced to avoid these additional scars and improve the aesthetic outcome. This study aimed to evaluate the difference between aesthetic outcome of conventional liposuction and cross-chest liposuction in treatment of gynecomastia. Method A prospective comparative study between 2 groups with 15 patients in each was conducted, one with conventional and the other cross-chest liposuction. Excision of residual gland tissue was performed through circum-areolar incision in both the groups. Aesthetic outcome was evaluated in both the groups using Likert scale and compared. Result The mean age of the patients was 22.6 years and the mean duration of presentation was 8.13 years. Satisfaction rate with conventional and cross-chest liposuction was 80% and 86%, respectively, as assessed by the patients. The rate was 80% and 77%, respectively, in both the groups as assessed by independent observer. The complication rate was 13.3% in conventional and 20% in cross-chest group. The difference in outcome was not statistically significant between two groups. Difference between the mean Likert scores of pre-operative and post-operative satisfaction was statistically significant for both the techniques. Conclusion The conventional and the cross-chest liposuction, both yield comparable results when used for treatment of gynecomastia in terms of aesthetic outcome. Level of Evidence III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266

A Single-Center Experience With Gynecomastia Treatment Using Liposuction, Complete Gland Removal, and Nipple Areola Complex Lifting Plaster Technique: A Review of 448 Patients

“…This rate is higher compared to other published work. 18 , 19 Most patients (96.4%) in our study reported that they were more confident after their surgery. Similarly, most of the patients in our study were satisfied with the scar after surgery.…”

Evaluation of the Aesthetic Outcome of Glandular Liposculpture Using V - Dissector Liposuction Cannula for Grades I and II Gynecomastia Combined with the Sealing Effect of Autologous Platelet Gel

“…Most of the patients in this study were overweight, as the mean body mass index was 27.94±1.93kg/m 2 , and more than one third of them were active smokers. Singamsetty R et al [23] in their comparative study of 30 patients found that the mean (SD) age of the patients was 22.6±4.13 years and almost all of patients had grade II gynecomastia, while Abdelrahman I et al [6] in their study of 18 patients observed that the mean age (SD) of the patients was 31 years (range: 28-34), and 61% of them had grade I gynecomastia, and their mean body mass index was 27.4kg/m 2 (range: 26.7-29.4).…”

Treatment protocols for gynecomastia in adults

“…Singamsetty et al (20) , en India (2022), en su estudio "Resultado estético de ginecomastia administración con liposucción convencional y liposucción cruzada de tórax", establecieron que con el manejo de ambos procedimientos quirúrgicos, presenta menos del 20 % tasas de complicaciones. De la misma manera, Lee et al (21) , en Corea del Sur (2022), en su estudio de casos y controles, revelan otro procedimiento con menos complicación que es la liposucción asistida por succión mural y portátil, donde pocos pacientes presentaron hematoma, seroma, infección de la herida.…”