Abstract
Background: Surgical excision offibroglandular tissue and liposuction offatty element are the standard now in treatment of grade II gynecomastia. However, the combined use of laser assisted liposuction and endoscopic surgical excision have not been studied before. Patients and methods: Thirty male patients with grade !fa and Jib were included. 15 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). Results: 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. Conclusion: Endoscopic surgical excision of grade!!gynecomastia combined with traditional or laser assisted liposuction can achieve satisfactory results. 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.
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