Gynecomastia Excision Surgery Using Tumescent Liposuction and Scissors Dissection Technique

Abstract

Introduction: Male gynecomastia is popularly treated with liposuction. This article examines a combination surgery of tumescent liposuction and scissors dissection as an alternative to liposuction. Materials and Methods: A 3–4 mm cannula is used to test gynomastia tissue and develop planes above and below the dermis. If indicated, incisions are made with a 15 blade and planar tissue is excised with facelift scissors through a periareolar incision. A Jackson-Pratt drain is sutured into the incision and compressed, draining 15 mL per day for 48 hours. Additional compression is worn for 2 to 4 weeks. Results: With skilled surgery, breasts look smooth; nipple discoloration and scarring may occur. Conclusion: The combined liposuction-dissection technique may reduce the complications and revision surgery that can occur as a result of liposuction.