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

Abstract

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.