A Comparison of Conventional with Ultrasonic Liposuction in Gynaecomastia Surgery

Abstract

A wide range of surgical techniques have been described for gynaecomastia treatment including various forms of liposuction, open excision, skin reduction and combinations. Over the last two decades, conventional liposuction, also known as suction-assisted lipectomy, and ultrasound-assisted liposuction (UAL) have been demonstrated to be effective treatment options. In particular, there has been growing interest in UAL. Although high complications rates were reported in some early studies, subsequent reports have suggested that UAL is a more effective treatment modality versus traditional liposuction. This chapter compares the roles of conventional liposuction and ultrasonic liposuction in gynaecomastia surgery. We outline the salient features and principles of each technique with subsequent review of the literature regarding safety and postoperative outcomes.