Treatment of Gynecomastia: Suction Curettage with Riblike-Projections-Cannula

Abstract

Introduction: While excessive fat in pseudogynecomastia can easily be removed with standard liposuction methods, the removal of glandular tissue in gynecomastia often requires open excision. The objective of this study is to evaluate the efficacy of a cannula with riblike projections to remove glandular tissue in patients with gynecomastia. Materials and Methods: Forty-two male patients aged 21–67 years (mean age, 37.4 ± 13.9 years) with enlarged breasts were enrolled in the study. Over a 4-year period, all patients were treated with tumescent liposuction using 1 or 2 entry sites from the axillary fossa. Lipoaspiration of excessive breast fat was first performed with a standard liposuction cannula, thus isolating the breast gland. Glandular tissue was then broken down and removed with a cannula with riblike projections using the same entry sites. Results: No open excision or skin reduction procedures were required. None of the patients had early postoperative complications of infection, hematoma, or seroma. There were no treatment-induced asymmetries, dimples, or hyperpigmentation. Conclusions: Fibrous glands in gynecomastia can effectively be removed with a cannula with riblike projections, resulting in high patient satisfaction. This method does not result in additional scars and is safe and easy to use by the dermatologic surgeon.