Efficacy and safety of liposuction and glandular excision for gynecomastia in our setting: clinical presentation, immediate outcome, and patient satisfaction: A cohort study

Background Gynecomastia can cause significant psychological distress, affecting the patient's self-esteem and quality of life, particularly in young adults. The treatment of gynecomastia includes simple observation and different types of surgical options. The surgical modalities of gynecomastia range from liposuction alone to subcutaneous gland excision and skin reduction. The study aimed to evaluate the clinical presentation, modality of surgical intervention, aesthetic outcomes, and patient satisfaction for gynecomastia surgery. Methods This retrospective, cohort, hospital-based study included 71 patients with gynecomastia who met our inclusion criteria from June 2023 to December 2024. Results: The mean age of the participants was 24 ± 3.9 years, and the mean BMI was 26.3 ± 2.6. Most participants (n = 55, 77.5%) were diagnosed with Gynecomastia grade II. The average operation time was 45.6 ± 4.7 minutes, ranging from 32 to 58 minutes. All procedures were completed without complications. Postoperative complications were reported in 12.7% of the participants, including Superficial skin necrosis, seroma, ecchymosis, and hematoma. Most of the participants (87.3%) rated their satisfaction as very good. A significant association was noticed between high BMI and postoperative complications (P = 0.030), as well as a low level of satisfaction (P = 0.029). Conclusions: Breast liposuction and glandular excision are effective and safe surgical procedures for gynecomastia surgery. The result yields high patient satisfaction and a low complication rate. BMI is considered an essential factor that affects the surgical outcome.