The Study of the Correlation between the Surgeon and the Patient Perspective in the Outcome Analysis of Patients Undergoing Liposuction and Excision for Gynaecomastia

Abstract

Background: Most patients with gynaecomastia seek surgical treatment because it causes embarrassment as well as anxiety for them. Hence, apart from cosmesis, mental satisfaction also plays an important role in the surgical treatment of gynaecomastia. This study was aimed at evaluating the outcome of gynaecomastia treated by liposuction and excision. Materials Methods: A retrospective analysis of patients who underwent liposuction and excision for gynaecomastia was done. Cosmetic results were assessed at least 6 months after the surgery and included factors like breast size, breast symmetry, the shape of the Nipple areolar Complex (NAC), symmetry of NAC and quality and visibility of scars. For each of these factors, a score from 1 to 10 was given by the patient as well as the surgeon. Results: Out of 58 patients included in this study, the overall mean patient score and surgeon score were 42.53 and 42.74, respectively. Grade I patients were having the best final aesthetic result (score = 44.28) and Grade III patients were having the least score (37.66) There was a good correlation between patients’ scores and surgeons’ scores on the symmetry of breasts, size of the breast and shape of the nipple-areolar complex. The mean value for overall satisfaction was 9.15. The overall complication rate was 17.2%. Conclusions: Gynaecomastia patients treated with liposuction and excision were having very good results in terms of aesthetic outcomes. There was a good correlation between patients’ perspectives and surgeons’ perspectives on the symmetry of breasts, size of breasts and shape of the nipple-areolar complexes. They also had good overall satisfaction and confidence levels.