Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Feb;31(1):5-10.
doi: 10.1177/15533506231217621. Epub 2023 Nov 23.

A Novel Surgical Technique for Gynecomastia: Air-Assisted Minimally Invasive Surgery With Single Axillary Incision

Mustafa Tukenmez  1 , Baran Mollavelioglu  1 , Erol Kozanoglu  2 , Selman Emiroglu  1 , Neslihan Cabioglu  1 , Mahmut Muslumanoglu  1
Affiliations

A Novel Surgical Technique for Gynecomastia: Air-Assisted Minimally Invasive Surgery With Single Axillary Incision

Mustafa Tukenmez et al. Surg Innov. 2024 Feb.

Abstract

Background: Gynecomastia is a benign condition that develops due to the proliferation of breast tissue in men. Surgical excision is the most effective treatment method. Minimally invasive techniques can be used to avoid visible scarring. We evaluated the efficacy and safety of air-assisted subcutaneous mastectomy in the treatment of gynecomastia.

Patient and methods: 10 patients with gynecomastia underwent air-assisted subcutaneous mastectomy and liposuction through a single axillary incision, between June 2022 and February 2023. Demographic and clinical data of the patients, duration of surgery, and complications were recorded. The satisfaction levels of the patients regarding physical appearance, mental status, and social environment were measured. The body Q questionnaire was performed preoperatively and in the postoperative third month.

Results: The median age was 26 (range, 18-54). Surgical excision was measured as a median of 69 gr (range, 41-177), and liposuction volume was measured as a median of 210 ccs (range, 63-400). The median operation time was 50 minutes (range, 21-60) for excision and 21 minutes (range, 20-75) for liposuction. Body, chest, and nipples related appearance satisfaction levels were measured preoperatively as a median of 44 (range, 36.5-52), 31 (range, 27.5-39), and 51.5 (range, 21-69.8) points vs postoperatively as 92 (range, 92-100), 93 (range, 93-94.8) and 90 (range, 90-100) points, respectively. The patients had a median follow-up of 6 months (range, 3-11). No complications were observed during the follow-up period.

Conclusion: Air-assisted subcutaneous mastectomy and liposuction is a feasible technique that may provide good cosmetic outcomes by avoiding anterior chest wall scarring.

Keywords: air-assisted surgery; breast surgery; gynecomastia; minimal invasive surgery.

PubMed Disclaimer

Conflict of interest statement

Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Aspiration-type cannula with the hand pump.
Figure 2.
Figure 2.
Peroperative photographs.
Figure 3.
Figure 3.
Preoperative and early postoperative images of a patient who underwent air-assisted minimally invasive surgery and liposuction.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Dickson G. Gynecomastia. Am Fam Physician. 2012;85(7):716-722. - PubMed
    1. Hanavadi S, Banerjee D, Monypenny IJ, Mansel RE. The role of tamoxifen in the management of gynaecomastia. Breast. 2006;15(2):276-280. - PubMed
    1. Holzmer SW, Lewis PG, Landau MJ, Hill ME. Surgical management of gynecomastia: a comprehensive review of the literature. Plast Reconstr Surg Glob Open. 2020;8(10):e3161. - PMC - PubMed
    1. Caridi RC. Total gynecomastia removal with layered closure: a study of 567 cases. Plast Reconstr Surg Glob Open. 2022;10(4):e4256. - PMC - PubMed
    1. Jarrar G, Peel A, Fahmy R, Deol H, Salih V, Mostafa A. Single incision endoscopic surgery for gynaecomastia. J Plast Reconstr Aesthet Surg. 2011;64(9):e231-e236. - PubMed