Liposuction and port site nipple sparing mastectomy: an alternative method for the operative treatment of gynecomastia at Alexandria main university hospital

• Published in: BMC surgery Vol. 23; no. 1; pp. 1 - 244
• Main Authors: Asal, Mohamed, Ewedah, Moataz, Bassiony, Mahmoud, Abdelatif, Ahmed
• Format: Journal Article
• Language: English
• Published: London BioMed Central Ltd 21.08.2023; BioMed Central; BMC
• Subjects: Analysis; Asymmetry; Blood pressure; Breasts; Care and treatment; Gynecomastia; Health aspects; Health services; Hematoma; Hospitals; Liposuction; Mastectomy; Medical research; Medicine, Experimental; Methods; Minimally invasive techniques; Patient satisfaction; Patients; Questionnaires; Reconstructive surgery; Recurrence rate; Surgery; Surgical intervention; Symmetry
• ISSN: 1471-2482; 1471-2482
• DOI: 10.1186/s12893-023-02146-9

Abstract Background Gynecomastia is characterized by unusually large masses that radiate concentrically from the base of the nipple and is caused by abnormal growth of the glandular tissue of the male breast. An alternative strategy for the surgical treatment of gynecomastia was used in this experimental study, which aims to use liposuction and port site nipple sparing mastectomy. Methods The study was conducted in the surgical oncology unit at Alexandria Main University Hospital included 103 patients with a mean age of 27 and no medical history. 100 patients had bilateral gynecomastia, and three patients had unilateral gynecomastia,with two having it on the right side and one on the left. Results Among the 103 participants, 83 had grade II gynecomastia and 20 had grade I. Only one of the three patients who participated in the study had an expanding hematoma on one side that needed to be surgically evacuated in the operating room. None of our patients experienced an infection or seroma following surgery. Furthermore, only three of our patients experienced nipple areolar complicated superficial epidermolysis, which need regular dressings until recovery. Of the 103 patients, 97 (94.17%) were pleased with the outcomes. Conclusion Liposuction and port site nipple sparing mastectomy are viable options for treating grade I to II gynecomastia, particularly if the patient prefers a more aesthetically pleasing chest contour; no scars equals better patient satisfaction. Trial registration retrospectively registered.