ABSTRACT
Objective To explore the surgical application and cosmetic effect of minimally invasive small excision supplement with liposuction in the treatment of gynecomastia.Methods 7 patients were diagnosed as gynecomastia.All patients were given minimally invasive excision.The procedure was carried out by minimally invasive excision on areola plus liposuction subcutaneous glandular.Following the procedure,fat lysate was infused into adipose layer surrounding breast hypertrophy region.A 1-2cm areola incision was made.Fat tissue was removed by using negative pressure aspirator suction.Finally,the whole glands and residual fat tissue were cleared away.Following the surgery,subcutaneous suture and skin adhesive bonding,and wound compression bandage were applied to the area with surgical incision.Results All patients achieved grade Ⅰ gynecomastia with minimally invasive small excision.Their chests had natural,smooth and symmetrical appearance.There were no uneven feeling and obvious incision scar,also no necrosis in the nipple and areola.The average operation time was 60 min for unilateral surgery (40-90min).The average bleeding was 40mL (30-60mL).One patient had local hematoma,but got better following continued compression bandage.One patient was observed numbness in nipple areola.But it disappeared after 1-3 months follow-up.Conclusion Our experience with minimally invasive breast surgery for gynaecomastia continues to give excellent results of cosmesis with minimum morbidity.