Gelidan Adnan G, Mortada Hatan, Alghamdi Hisham, Arab Khalid, Elsafi Rawan Adel
From the Division of Plastic Surgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Division of Plastic Surgery, Department of Surgery, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.
Plast Reconstr Surg Glob Open. 2025 Jul 16;13(7):e6942. doi: 10.1097/GOX.0000000000006942. eCollection 2025 Jul.
Gynecomastia often causes psychological distress and impairs quality of life. Traditional surgery can leave visible scars. Advances now allow less invasive techniques. This study presented a novel short-scar approach combining crescent excision and ultrasound-assisted liposuction to address both functional and aesthetic concerns.
This prospective pilot study included 15 adult male patients undergoing short-scar gynecomastia repair from January to December 2020. Inclusion criteria were grade 2B-3 gynecomastia of more than 1-year duration, unresponsive to medical therapy. Outcomes included operative time, liposuction/excision volumes, scarring, complications, satisfaction, and recurrence over 3-12 months.
The mean age was 30.2 ± 7.6 years. The average operative time was 123 ± 50 minutes. Mean liposuction per side was 575 ± 125 mL, and mean glandular excision was 59 ± 51 g. Mean skin excision diameter was 4.0 ± 0.8 cm. There were no major complications. All patients reported high satisfaction at a mean follow-up of 6.8 ± 2.6 months.
This pilot study supported the short-scar plus ultrasound-assisted liposuction technique as a safe and effective option for gynecomastia management. The method allows for minimal scarring, efficient surgery, and high patient satisfaction. Further research is needed to confirm long-term benefits.
男性乳房肥大常导致心理困扰并损害生活质量。传统手术会留下明显疤痕。目前的进展使得侵入性较小的技术成为可能。本研究提出了一种新颖的短切口方法，将新月形切除术与超声辅助吸脂术相结合，以解决功能和美观问题。
这项前瞻性试点研究纳入了2020年1月至12月接受短切口男性乳房肥大修复术的15例成年男性患者。纳入标准为持续时间超过1年的2B - 3级男性乳房肥大，对药物治疗无反应。观察指标包括手术时间、吸脂/切除量、瘢痕形成、并发症、满意度以及3至12个月内的复发情况。
平均年龄为30.2±7.6岁。平均手术时间为123±50分钟。每侧平均吸脂量为575±125毫升，平均腺体切除量为59±51克。平均皮肤切除直径为4.0±0.8厘米。无重大并发症。在平均6.8±2.6个月的随访中，所有患者均表示高度满意。
这项试点研究支持短切口加超声辅助吸脂技术作为治疗男性乳房肥大的一种安全有效的选择。该方法瘢痕形成最小、手术效率高且患者满意度高。需要进一步研究以证实其长期益处。
