Background: Nowadays there is a great introduction of 3D,4D and high-definition body contouring. Applicability and evaluation of such techniques in gynecomastia surgery needs more investigation.
Objective: The aim of this study was to assess high definition liposculpture to get masculinized appearance of the chest for treatment of early grades gynecomastia.
Patients and methods: 30 patients with grade I&II gynecomastia were selected with age group between 18 and 50 years old with mean 24.73 ± 2.62. It was a prospective observational cohort study to assess the applicability of pectoral etching in early grades gynecomastia. The study was conducted at Al-Azhar university hospitals.
Results: Age group ranged from 18 to 50 with a mean on 24.73 ± 2.62. The subjective results for all patients at 6 months assessment point. Seventeen patients scored very satisfied, nine stated satisfied, three patients not satisfied, one patient Neither satisfied nor dissatisfied. The average sternal notch to nipple length pre and six months postoperative were respectively 21.08cm and 18.6cm.
Conclusion: Patient satisfaction is high, making the procedure rewarding for both surgeon and patient. Fat survival is confirmed by MRI. Surgical Excision of glandular tissue by semicircular trans-areolar incision also adds other advantages to the maneuver as the trans-areolar incision made the scar not well defined as it become camouflaged by the color change between normal skin and the areola.