Combination of liposuction with arthroscopic cartilage shaver for the treatment of gynecomastia [Jinekomasti tedavisinde 'liposuction' - artroskopik kikirdak traşlayici kombinasyonu]
Introduction: Surgical intervention is the most effective treatment modality for adult male patients with longstanding gynecomastia. Various surgical techniques for the correction of gynecomastia were described in the literature. This study was designed to introduce the combination of conventional liposuction with arthroscopic cartilage shaver for the correction of gynecomastia and to evaluate the cosmetic results following surgery. Materials and Methods: Thirteen consecutive patients with a mean age of 27.6 years (range 19-43 years) underwent a combined approach that included liposuction and arthroscopic cartilage shaver. A comparison of the combination modality with other surgical alternatives and the analysis of the end-results were performed. Results: The combination modality was performed in 13 patients, all diagnosed with bilateral gynecomastia. The average volume of aspirated breast tissue was measured as 348 cc. Follow-up periods ranged in duration from 7 to 13 months (on average 10.6 months). Apart from a case with postoperative unilateral hematoma formation no other complication was encountered. One of the patients underwent reoperation because of under-resection. All of the patients had aesthetically pleasant results. Conclusion: Although gynecomastia is a benign condition it nevertheless is able to give rise to serious emotional disturbances; thus gynecomastia constitutes one of the most prevalent reasons for cosmetic surgical interventions. The combination treatment using liposuction and an arthroscopic cartilage shaver in selected cases diagnosed with stage IIa/IIb gynecomastia is an effective treatment alternative for gynecomastia with minimal scar formation.