Gynaecomastia (GM) refers to any condition in which the male breast volume enlarge due to an increase in ductal tissue, fat or stroma and the condition mostly occurs during times of hormonal change such as birth, adolescence and old age. This prospective study aims to compare the two management techniques for the treatment of gynaecomastia and analyses the aesthetic and functional outcome of Stage 2B gynaecomastia management by combined liposuction and gland excision and liposuction alone. The comparison between the liposuction alone with the liposuction and glandular excision method of tissue excision was the basis of our study. The study was conducted among 40 patients, presented at the outpatient department of Patna Medical College and Hospital, Patna, Bihar, India. The combination of liposuction with surgical excision of the glandular tissue offers various advantages compared to surgical excision alone. The operation is performed through a shorter incision and liposuction ensures accurate contouring of the periphery. All patients were discharged on the day of operation, with a mean (SD) hospital stay of 6.6 (2.1) h. Patients who underwent liposuction alone showed high satisfaction rate post operatively as compared to the patients who underwent liposuction with gland excision. The mean (SD) ratio of infiltrated fluid‐aspirated fat was 1.9 (0.3). The patients’ mean (SD) overall satisfaction score was 4.7 (0.7), in which most of the responders (92%) were satisfied or very satisfied.
Neha Kumari, Santosh Kumar Yadav and Sanjay Kumar Gupta. Comparative Study in the Management of Gynaecomastia: The Combination of Liposuction and Gland Excision Compared with Liposuction Alone.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.1.90.93
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.1.90.93