Arch Aesthetic Plast Surg.  2024 Oct;30(4):132-136. 10.14730/aaps.2024.01165.

Minimally invasive intervention for gynecomastia excision: two case reports

• Elsakka M
• Louri N

• KMID: 2560414
• DOI: http://doi.org/10.14730/aaps.2024.01165

Abstract

Gynecomastia is characterized by abnormal and excessive development of breast tissue in male patients. Depending on the volume of the breasts and the amount of excess skin, it may be unilateral or bilateral. Surgery is considered the standard of care, with several techniques documented, including different types of incisions made in the periareolar or intra-areolar skin. The most common surgical technique is conventional open surgery, which utilizes a semicircular inferior periareolar incision. To achieve superior aesthetic outcomes, various alternatives to open surgery have been proposed, including vacuum-assisted excision, endoscopic mastectomy, and liposuction Herein, we present two cases involving male patients, aged 29 and 24, who reported bilateral breast enlargement. We used the same incision for both liposuction and glandular excision. Our patients underwent combined liposuction on two planes: subcutaneous and subglandular, accompanied by sharp parenchymal excision. These small incisions, measuring 1–1.5 cm, are discreetly placed within the inframammary fold across the breast width. The patients experienced an uneventful recovery without any complications.

Keyword

Gynecomastia / Plastic surgery / Liposuction / Minimal scars / Case reports