Background: Gynecomastia is defined as an abnormal
growth of male breast tissue that is considered the most frequent
male cosmetic problem, accounting for roughly 60% of
the total male breast problems and 85% of male breast masses.
Several traditional treatments, including liposuction, subcutaneous
mastectomy, and a combination of both, have been
documented. This approach inevitably results in a scar on the
anterior chest wall; liposuction alone can result in minimal
scarring but has a minimal effect on the tough glandular and
fibroconnective tissues.
Objective: 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.
Methods: This was an uncontrolled clinical study, including
25 patients [50 breasts] ageing between 18 and 45 years
with idiopathic benign gynecomastia who requested surgical
intervention for their gynecomastia. liposuction and liposculpturing
with V-dissector liposuction cannula without glandular
tissue excision, followed by platelet gel spraying on the cavity.
The procedure was completed, and the overall complication
rate was recorded, mainly hematoma and seroma.
Conclusion: Glandular liposculpture using V-dissector liposuction
cannula for grades I and II gynecomastia combined
with sealing autologous platelet gel was effective and safe, and
both patients and observers were adequately satisfied with an
acceptable outcome rating.