Journal of AdvancedMedical and Dental Sciences Research

Introduction : Gynecomastia is defined as the benign enlargement of glandular tissue of male breast. One of the most common breast problem in men is gynecomastia. Prevalence of asymptomatic gynecomastia differs with different age group. Clinical classification of gynecomastia are Idiopathic, Physiologic, Pharmacologic and pathologic. Gynecomastia can also be associated with psychological stress. There are various form of treatment available for gynecomastia, but surgery is considered gold standard among all the treatment available today. Methods: In this retrospective study, we assessed patients who underwent gynecomastia surgery either subcutaneous mastectomy or liposuc tion or combined ( Liposuction with gland excision) between January 2017 to December 2017 at Nepal Plastic Cosmetic and Laser Center, grade I gynecomastia. 84 patients were operated either by liposuction alone, mastectomy alone or combined (liposuctio n with gland excision) technique. Results: Total of 84 patients with mean age of 24.8 years were included in this study. Most of the patients in this study group had emotional and social problem which also was the most common reason to choose operation among patients. Overall complic ation rate in this study was 9.5%. Complication was most commonly seen in the patients who underwent mastectomy. Overall satisfaction rate was 88%, with highest reported by patients in liposuction group. Conclusion:Each cases of gynecomastia should be considered and managed with individual approach considering patients desire, grade of gynecomastia a nd comorbidity. This study shows that liposuction only, provides high satisfaction rate among patients and surgeon. Proper planning and meticulously performed surgery can reduce complications to great extent.
Key words: Gynaecomastia, Liposuction, mastectomy

Received: 26 February, 2019                            Revised: 29 March, 2019                  Accepted: 30 March, 2019

Corresponding author: Dr. Surendra Jung Basnet, Nepal Plastic Cosmetic and Laser Center, Nepal

This article may be cited as:  Basnet SJ, Nagarkoti KK, Tripathee S, Amatya S. Surgical Management of Gynecomastia: Our experience and comparing surgical outcome.  J Adv Med Dent Scie Res 2019;7(5): 110-114.