Frontiers in surgery · 2026
Effectiveness and safety of periareolar micro-excision combined with liposuction for gynecomastia: a retrospective cohort of 177 patients.
СтатьяНазвание и аннотация: Перевод в очереди
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Guo Xinxin, Song Baoji
Аннотация
OBJECTIVE: Gynecomastia is common and carries substantial psychosocial burden; liposuction alone has limited efficacy for glandular removal. This study evaluated the effectiveness and safety of liposuction combined with periareolar micro-incision gland excision for the treatment of gynecomastia.
METHODS: From January 2019 to April 2025, we treated 177 patients with gynecomastia. All underwent liposuction plus periareolar micro-incision gland excision. We performed a retrospective review of clinical records to assess long-term surgical outcomes, complications, and patient satisfaction.
RESULTS: The median excised gland weight was 41.9 g (range, 8-180 g); the median lipoaspirate volume was 882 mL (range, 100-2,500 mL). The median operative time was 89.7 min (range, 60-120 min). Complications included seroma in 15 patients, hematoma in 3 patients within 6 h postoperatively, infection in 3 patients, and transient cutaneous sensory changes in 4 patients. The mean patient-reported satisfaction score was 8.8/10.
CONCLUSIONS: Liposuction combined with periareolar micro-incision gland excision is a technically feasible and cosmetically favorable treatment for gynecomastia. Although postoperative wrinkling or folding of the nipple-areolar complex may occur in patients with more severe deformities, the technique can still provide satisfactory aesthetic outcomes while keeping visible scarring to a minimum. Attention to uniform tumescent infiltration, meticulous hemostasis, dead-space control, and staged compression may further reduce early hematoma and seroma and help prevent postoperative asymmetry, particularly in patients with higher BMI.
METHODS: From January 2019 to April 2025, we treated 177 patients with gynecomastia. All underwent liposuction plus periareolar micro-incision gland excision. We performed a retrospective review of clinical records to assess long-term surgical outcomes, complications, and patient satisfaction.
RESULTS: The median excised gland weight was 41.9 g (range, 8-180 g); the median lipoaspirate volume was 882 mL (range, 100-2,500 mL). The median operative time was 89.7 min (range, 60-120 min). Complications included seroma in 15 patients, hematoma in 3 patients within 6 h postoperatively, infection in 3 patients, and transient cutaneous sensory changes in 4 patients. The mean patient-reported satisfaction score was 8.8/10.
CONCLUSIONS: Liposuction combined with periareolar micro-incision gland excision is a technically feasible and cosmetically favorable treatment for gynecomastia. Although postoperative wrinkling or folding of the nipple-areolar complex may occur in patients with more severe deformities, the technique can still provide satisfactory aesthetic outcomes while keeping visible scarring to a minimum. Attention to uniform tumescent infiltration, meticulous hemostasis, dead-space control, and staged compression may further reduce early hematoma and seroma and help prevent postoperative asymmetry, particularly in patients with higher BMI.