Ali Hasan
Hasan Surgery, Ambulatory Plastic Reconstructive and Aesthetic Surgery Center, Dubai Health Care City, Unit 408, Block C Al Razi Building 64, Dubai, UAE.
Aesthetic Plast Surg. 2025 Mar 25. doi: 10.1007/s00266-025-04801-3.
Gynecomastia is a common condition among men, leading to psychological distress and impacting quality of life. Traditional correction techniques often result in prominent scarring, which can be a major concern for patients. This study explores the efficacy of combining VASER liposuction with gland excision through a minimal scar approach to improve aesthetic outcomes.
This study retrospectively analyzed 960 patients treated between October 2009 and January 2024 at two centers located in Dubai and Riyadh. Patients were classified using Simon's grading system. The surgical procedure included VASER-assisted liposuction targeting the chest, lateral chest, and axillary fold areas, followed by gland excision through a minimal scar incision. Satisfaction was assessed using both patient- and physician-reported Visual Analogue Scale (VAS) scores. Ethical approval was obtained from the Dubai Scientific and Research Ethics Committee (DSREC) and the Institutional Review Board (IRB) at Hasan Surgery and The Clinics Riyadh KSA.
Patient distribution by Simon grading was: Grade I (16.7%), Grade IIA (41.7%), Grade IIB (29.2%), and Grade III (12.5%). Mean aspirated fat volume was 859.4 ml. Patient satisfaction was high, with a mean VAS score of 9.4 across all grades, and minor complications such as bruising, temporary sensory loss, and hematomas occurred in 1.7% of cases. Physician-assessed VAS scores mirrored patient satisfaction, demonstrating the reliability of the technique in achieving minimal scarring, significant skin retraction, improved contouring, and high satisfaction rates.
Combining VASER-assisted liposuction with gland excision through a minimal scar incision is a highly effective approach for gynecomastia correction. The technique delivers superior aesthetic outcomes, minimal scarring, and high satisfaction across all grades of gynecomastia. Further long-term studies are recommended to assess delayed recurrence.
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男性乳房肥大是一种常见病症，会导致心理困扰并影响生活质量。传统的矫正技术往往会导致明显的瘢痕形成，这可能是患者主要关注的问题。本研究探讨通过微创瘢痕方法将VASER吸脂术与腺体切除术相结合以改善美学效果的疗效。
本研究回顾性分析了2009年10月至2024年1月期间在位于迪拜和利雅得的两个中心接受治疗的960例患者。使用西蒙分级系统对患者进行分类。手术过程包括针对胸部、胸外侧和腋窝褶皱区域的VASER辅助吸脂术，然后通过微创瘢痕切口进行腺体切除术。使用患者和医生报告的视觉模拟量表（VAS）评分评估满意度。获得了迪拜科学与研究伦理委员会（DSREC）以及沙特阿拉伯利雅得哈桑外科诊所和诊所的机构审查委员会（IRB）的伦理批准。
按西蒙分级的患者分布情况为：I级（16.7%），IIA级（41.7%），IIB级（29.2%）和III级（12.5%）。平均吸出脂肪量为859.4毫升。患者满意度较高，所有分级的平均VAS评分为9.4，1.7%的病例出现了诸如瘀伤、暂时性感觉丧失和血肿等轻微并发症。医生评估的VAS评分反映了患者的满意度，表明该技术在实现最小瘢痕形成、显著的皮肤回缩、改善轮廓和高满意率方面的可靠性。
通过微创瘢痕切口将VASER辅助吸脂术与腺体切除术相结合是一种治疗男性乳房肥大的高效方法。该技术在所有男性乳房肥大分级中均能提供卓越的美学效果、最小的瘢痕形成和高满意度。建议进一步开展长期研究以评估延迟复发情况。
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