Yan Bingwen, Hao Dongyue, Sun Liming, Cang Zhengqiang, Xiao Bofu, Chen Yongjun, Qiao Haixia, Ma Ying, Song Baoqiang, Liu Chaohua
Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Surg Innov. 2025 Apr;32(2):118-126. doi: 10.1177/15533506241307270. Epub 2024 Dec 9.
BackgroundGynecomastia, the enlargement of male breast tissue, significantly impacts both physical and psychological health. Surgical intervention is often necessary, utilizing various techniques to reduce glandular and fatty tissue. This paper introduces an innovative surgical method combining power-assisted liposuction with the stab-flatten technique to enhance precision and cosmetic results. We present our clinical experience and evaluate its effectiveness in gynecomastia treatment.MethodsFrom June 2021 to January 2023, 128 gynecomastia patients underwent power-assisted liposuction and the stab-flatten method via a single axillary incision. We collected demographic and clinical data, including surgery duration, complications, and patient satisfaction regarding physical appearance, mental state, and social interactions. The BODY-Q questionnaire was used preoperatively and 3 months postoperatively for assessment.ResultsThe study included 128 male patients, treating 252 breasts, with an average age of 35 years and a mean BMI of 27.7 kg/m. Most procedures were bilateral (96.9%), with an average fat removal of 224.5 mL and a surgery duration of 147 minutes. The complication rate was low at 2.0%, with bruises in 5 breasts. The average hospital stay was 2 days. Significant improvements were noted in BODY-Q scores for appearance satisfaction and health-related quality of life, with increased appearance satisfaction and reduced appearance-related distress.ConclusionSince June 2021, the combined use of power-assisted liposuction and the stab-flatten technique has been effective in managing gynecomastia. This synergistic approach not only achieves aesthetically pleasing outcomes but also minimizes the surgical risks associated with traditional methods.
背景
男性乳房肥大，即男性乳腺组织增大，会对身心健康产生重大影响。手术干预通常是必要的，可采用各种技术来减少腺体和脂肪组织。本文介绍一种创新的手术方法，将动力辅助吸脂术与戳刺平整技术相结合，以提高精确度和美容效果。我们展示了我们的临床经验，并评估了其在男性乳房肥大治疗中的有效性。
方法
2021年6月至2023年1月，128例男性乳房肥大患者通过单一腋窝切口接受了动力辅助吸脂术和戳刺平整法。我们收集了人口统计学和临床数据，包括手术时长、并发症以及患者对身体外观、精神状态和社交互动的满意度。术前和术后3个月使用BODY-Q问卷进行评估。
结果
该研究纳入了128例男性患者，共治疗252个乳房，平均年龄35岁，平均体重指数为27.7kg/m。大多数手术为双侧（96.9%），平均吸脂量为224.5mL，手术时长为147分钟。并发症发生率较低，为2.0%，5个乳房出现瘀斑。平均住院时间为2天。在外观满意度和与健康相关的生活质量方面，BODY-Q评分有显著改善，外观满意度提高，与外观相关的困扰减少。
结论
自2021年6月以来，动力辅助吸脂术和戳刺平整技术联合使用在男性乳房肥大的治疗中效果显著。这种协同方法不仅能实现美观的效果，还能将与传统方法相关的手术风险降至最低。
