Abstract

This study aimed to compare the effectiveness of two liposuction techniques for treating gynecomastia. The study focused on patients with Simon's grades I and II gynecomastia. The two techniques were liposuction without a periareolar incision (Group A) and liposuction with an incision created near the areola (Group B). The study was conducted between 2022 and 2023 at CHM Rawalpindi and included 58 male patients. The study evaluated various clinical parameters, including skin removal, bleeding, hematomas, seromas, infections, scarring, patient satisfaction, and post-operative complications. The results showed that patients in Group B, who had liposuction with an incision, required significantly more skin removal than those in Group A, who had liposuction without an incision. Patients in Group A reported higher satisfaction and had a lower incidence of unfavorable scarring. However, no significant differences were found between the two groups regarding other post-operative complications. In conclusion, both liposuction techniques are effective for treating gynecomastia. However, liposuction without a periareolar incision offers advantages such as reduced scarring and higher patient satisfaction. The choice of technique should be based on the individual patient's condition and preferences. Further research with larger sample sizes is recommended to validate these findings and determine the optimal surgical approach for gynecomastia treatment.

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