Conventional Liposuction for Gynecomastia Treatment in Selected Patients

Objective: Perfect surgical technique for gynecomastia treatment has not been established although several method have been described. Liposuction is very useful method however skin excess remains as a challenge for gynecomastic breast treatment. Materials and Methods: Prospectively; 9 selected patients (6 bilateral, 3 unilateral breasts) who were operated for gynecomastia with conventional liposuction between 2005 and 2007 years period were included in this study. Patients’ mean age were 22 (19-28). All surgeries were performed under general anaesthesia. The breast tissue was infi ltrated, with a single stab incision throughout the medial inframammary crease, following a superwet/tumescent technique. Results: The mean infi ltration volume per breast taken with the suction assisted liposuction was 250 ml (150-400 ml) and mean aspiration volume per breast was 280 ml (175-480 ml). The mean application time per breast for liposuction was 13 minutes (10-18 min). Following the procedure; the patient was instructed to wear a pressure garment during day and night for 6 weeks. The mean follow-up time for each case was 1 year. Conclusion: The conventional liposuction for gynecomastia treatment is very eff ective for patients with soft breast tissue enlargement.