Short-scar Excision Combined with Ultrasound-assisted Liposuction for Gynecomastia: A Prospective Pilot Study of an Innovative Technique.

BACKGROUND

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.

METHODS

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.

RESULTS

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.

CONCLUSIONS

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.