Surgical Treatment of Gynecomastia: Liposuction Combined with Subcutaneous Mastectomy

Background and Objective: Gynecomastia is a common condition that is defined as the enlargement of male breast tissue and has a significant influence on their physical appearance and psychological status. Various surgical methods have been used to treat it. Liposuction with subcutaneous mastectomy has been one of the promising and effective regimens for treatment. The present study was done to evaluate the results, complications, and efficacy of liposuction with subcutaneous mastectomy in the management of gynecomastia. Methodology: 100 gynecomastia patients were included in this cross-sectional study from different hospitals in Iraq. The surgical technique used was subcutaneous mastectomy + liposuction, and comparisons were made based on operative parameters, complications, pain scores, and late satisfaction with the SF-36 questionnaire. Outcomes: Our study enrolled clinical outcomes of the patients with ages ranging from 17 - 42 years. They mostly had symptoms in the form of breast swelling (70%) and psychological distress (60%). Operative time was 120 minutes on average, and loss of blood was a mean of 150 mL. Hospital stay was 2 days on average, and minimal scarring was observed in 90% of the patients. Recovery was quick, with 60% of the patients returning to normal in 7 days. Complications were seen in 25% of the patients, as hematomas in 5% and seromas in 10%. Postoperative pain scores also significantly improved, with 80% of the patients experiencing minimal pain (VAS 0-3). The follow-up at 12 months showed 60% of the patients with excellent outcomes. Conclusion: Liposuction and subcutaneous mastectomy are effective and safe procedures for correcting gynecomastia with high patient satisfaction and low rates of complications. The procedure facilitates early recovery and significant quality of life improvement in patients, as evident from the SF-36 health survey.