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    Evaluation of Surgical Techniques in Gynecomastia Treatment: Analysis of 65 Cases
    (2020) Tezcan, Mustafa; Öztürk, Muhammed Beşir; Ertekin, Cengiz; Aksan, Tolga; Kalem, Uğur Kaan
    Aim: Gynecomastia is a benign enlargement of the breast in males. Surgical treatment optionsinclude liposuction, glandular excision and the combination of liposuction and glandularexcision. In this study, it was aimed to evaluate 65 consecutive gynecomastia patients whowere operated using different techniques and to present the treatment approach, and results andcomplications related to surgical techniques.Material and Methods: Sixty five patients who underwent gynecomastia operation in ourclinic between June 2016 and January 2019 were included in this study. Demographic data,preoperative and postoperative photographs, clinical classification, perioperative details,postoperative results and complications were evaluated retrospectively.Results: Fifty five (84.6%) patients had bilateral gynecomastia and 10 (15.4%) patients hadunilateral gynecomastia. Of the 120 breasts operated, 91 (75.8%) were Grade II, 20 (16.7%)were Grade III and 9 (7.5%) were Grade I, according to the Simon classification. Twenty-eight(43.1%) patients underwent liposuction and glandular excision, 35 (53.8%) patients underwentliposuction alone, and two (3.1%) patients underwent glandular excision only. Skin excisionwas performed for two patients at the first operation. Only two patients, one for inadequatereduction and the other for skin excess, were demanded revision surgery.Conclusion: Surgical treatment options for gynecomastia patients can be determinedaccording to clinical evaluation of breast tissue and skin excess. In young patients with goodskin quality, skin excision can be left for a second session. Although there was no significantdifference between the methods used in this study, more complications were found with theexcisional technique.