Liposuction-Assisted Surgery as a Minimally Invasive Treatment for Gynecomastia: A Five-Year Experience of 40 Cases

Open Access

Abstract

Background: Gynecomastia is a common benign condition in males that may cause psychological distress and cosmetic concern. Minimally invasive techniques such as liposuction-assisted surgery have gained popularity due to better aesthetic outcomes and reduced complications. This study aimed to evaluate the effectiveness and outcomes of liposuction-assisted surgery in the management of gynecomastia. Methods & Materials: This hospital-based observational study was conducted in the Department of Plastic and Reconstructive Surgery at KPJ Specialized Hospital, Dhaka, Bangladesh, over a five-year period from September 2021 to August 2025. A total of 40 patients with gynecomastia who underwent liposuction-assisted surgery were included. Socio-demographic data, clinical characteristics, operative details and postoperative outcomes were recorded and analyzed using SPSS version 25. Results: The majority of patients were aged 21–25 years (35%) and unmarried (62.5%). Bilateral gynecomastia was present in 75% of cases, with Grade IIa (37.5%) being the most common. Most patients (45%) had symptoms for 1–3 years. All procedures were conducted under general anesthesia, ensuring patient comfort and safety and 47.5% had operative times of 60–90 minutes. Postoperative complications were absent in 75% of cases, with seroma (10%) and hematoma (7.5%) being the most common. A high level of satisfaction was reported, with 65% of patients highly satisfied. Conclusion: Liposuction-assisted surgery is a safe and effective minimally invasive technique for the management of gynecomastia, offering low complication rates, short hospital stay and high patient satisfaction.