Comparison of laser-assisted liposuction and traditional liposuction combined with endoscopic surgical excision of grade II gynecomastia

Abstract

Surgical excision and liposuction of fatty element are the standard in the treatment of grade II gynecomastia. The aim of this study is to evaluate the combined use of laser-assisted liposuction and endoscopic surgical excision. Thirty male patients with grades IIa and IIb were included. Fifteen patients underwent laser-assisted liposuction followed by endoscopic excision of glandular tissues (group I), and 15 patients underwent conventional (vacuum assisted) liposuction and endoscopic surgical excision (group II). Patients of group I showed good to excellent outcome with mild edema, indurations, and ecchymosis. Group II patients showed also overall satisfactory results but with moderate to severe edema, ecchymosis, and hematomas. Endoscopic surgical excision of grade II gynecomastia combined with traditional or laser-assisted liposuction can achieve satisfactory aesthetic results. Furthermore, the combined use of laser liposuction failed to show superior aesthetic results than traditional liposuction. However, the use of laser-assisted liposuction offers additional advantages such as intraoperative (less bleeding, less operative time) or postoperative either immediately (less pain, indurations, ecchymosis, and edema) or late as improved skin tightness. Level of Evidence: Level III, therapeutic study