Gynecomastia is a benign condition characterized by enlargement of the male breast due to proliferation of the glandular tissue and local fat deposition. It can be physically uncomfortable, psychologically distressing and may have a negative impact on self-confidence and body image. Various modalities of treatment for this condition have been mentioned in literature. Aim of our study is to evaluate our surgical strategy used to correct gynecomastia using tumescent liposuction and to do surgical excision of the gland when the gland was palpable.
Methods: The case record forms of 35 patients, who underwent surgical treatment of gynecomastia by our technique between April 2014 and January 2018 at our centre were analysed retrospectively. Data obtained from admission notes, operative notes, discharge summary, out-patient department follow up sheet.
Result: Total of thirty five patients were included in the study. 33 were bilateral gynecomastia and 2 were unilateral. Minimum age of the patient was 19 years and oldest was of 48 years, mean age being 25 years. Commonest etiology was idiopathic within 16 patients, 10 patients had persistent pubertal gynecomastia, 5 patients had history of drug induced gynecomastia. We encountered complications in 4 breasts (5.9%), one (1.47%) showing hematoma formation, and two (3%) had buttonholing of areola and one (1.47%) had partial necrosis of nipple which subsequently got resolved.
Conclusions: The surgical strategy of excision of the gland using peri-areolar incision when gland is palpable even after tumescent liposuction yields predictable results in terms of low complications and minimal recurrence.
