Gynecomastia Repair Using Power-Assisted Superficial Liposuction and Endoscopic Assisted Pull-Through Excision

Abstract

Optimal result for the treatment of gynecomastia deformity is hard to achieve, and occasionally, the postoperative results may disturb the patient physically and psychologically, almost as the original deformity. Numerous methods of treatment have been described that accomplish removal of the breast tissue by direct excision, liposuction, or a combined approach [1–3]. Suction lipectomy has improved the aesthetic results of gynecomastia repair operations [4]. However, liposuction does not remove the dense glandular tissue, and some of the patients may need additional local excision of the residual core of the breast tissue [5]. Extended scars, postoperative bleeding, and donut or saucer deformities were described as possible complications of this procedure. In order to reduce the risk of postoperative contour deformities and those complications, different type of cannulas have been developed [6], and ultrasonic liposuction has been adapted for this purpose [7]. Although, these techniques have improved the resection of the glandular tissue, some residual breast parenchyma and stroma, needed direct excision [6], resulting in all the complications associated with this procedure.