Refinement Techniques for Male Chest Definition Using Ultrasound-Assisted Liposuction: A 4-Year-Experience

Al Sabbahi, Mohammad S; Mostafa, Ashraf

doi:10.21608/ejprs.2024.385097

Refinement Techniques for Male Chest Definition Using Ultrasound-Assisted Liposuction: A 4-Year-Experience

Document Type : Original Article

Authors

¹ The Department of Plastic & Reconstructive Surgery, Faculty of Medicine, Zagazig University

² The Department of Plastic & Reconstructive Surgery, Faculty of Medicine, Zagazig University and Department of Plastic Surgery, Saudi German Hospital, Riyadh, KSA

10.21608/ejprs.2024.385097

Abstract

Background: This study investigates the aesthetic outcomes
and safety of ultrasound-assisted liposuction (UAL)
in male chest definition for gynecomastia. Recognizing the
importance of patient satisfaction and safety, the research explores
the integration of UAL with a systematic zoning strategy
based on gynecomastia severity.
Objectives: The primary aim is to assess aesthetic outcomes
post-surgery, with specific objectives focused on gynecomastia
severity classification, pre-and post-operative
asymmetry, chest anthropometry changes, surgical procedures,
complications, and patient satisfaction.
Patients and Methods: A cohort of 42 male participants
underwent UAL for gynecomastia, with demographic data,
severity classification, and chronic illness recorded. Pre- and
post-operative asymmetry, chest anthropometry, surgical procedures,
complications, and patient satisfaction were meticulously
evaluated.
Results: Demographically, the cohort exhibited a mean
age of 33.25 years and a BMI of 27.95. Gynecomastia severity
varied, with 9.5% fatty, 19% glandular, and 71% mixed breast
density. Significant differences were observed in pre-and
post-operative asymmetry, chest circumference, and areolar
diameter. Surgical procedures aligned with established practices, including fat aspirated volume
and duration. Complications
were infrequent, with a 59.5% patient satisfaction rate.
Conclusion: The integration of UAL with a systematic
zoning strategy demonstrates favorable aesthetic outcomes
and safety in male chest definition for gynecomastia. The
study supports the continued exploration of UAL in refining
gynecomastia procedures, with the need for larger-scale investigations.

Keywords

Main Subjects

Aesthetics

References

Neagu A. and Rainer F.I.: Body Image: A Theoretical
Framework. In Proc. Rom. Acad, Series B., 29-38, 2015.
2- Klassen A., Kaur M., Poulsen L., Fielding C., Geerards D.,
Grift T., et al.: Development of the BODY-Q Chest Module
Evaluating Outcomes Following Chest Contouring
Surgery. Plastic and Reconstructive Surgery, 142, 2018.
3- Brown R.H., Chang D.K., Siy R. and Friedman J.: Trends
in the Surgical Correction of Gynecomastia. Seminars in
Plastic Surgery, 29 (2): 122-30, 2015.
4- Hoyos A. and Perez M.: Dynamic-definition male pectoral
reshaping and enhancement in slim, athletic, obese, and
gynecomastic patients through selective fat removal and
grafting. Aesthetic Plastic Surgery, 36 (5): 1066-77, 2012.
5- Mowlavi A, Rashid W, Berri M. and Talle A.: Masculinized
Male Chest Contouring: Creating the Armor Plate.
Aesthetic surgery journal Open forum, 2 (1): ojz023,
2020.
6- Rohrich R.J., Ha R.Y., Kenkel J.M. and Adams W.P., Jr.:
Classification and management of gynecomastia: Defining
the role of ultrasound-assisted liposuction. Plast Reconstr
Surg., 111 (2): 909-23; discussion 24-5, 2003.
7- Innocenti A., Melita D. and Innocenti M.: Gynecomastia
and Chest Masculinization: An Updated Comprehensive
Reconstructive Algorithm. Aesthetic Plastic Surgery, 45
(5): 2118-26, 2021.
8- Nikolay P.S.: Ultrasound Assisted Liposculpture – UAL:
A Simplified Safe Body Sculpturing and Aesthetic Beautification
Technique. In: Nikolay S., editor. Advanced Techniques
in Liposuction and Fat Transfer. Rijeka: Intech
Open, p. Ch. 9, 2011.
9- Saad A.N., Pablo Arbelaez J. and De Benito J.: High Definition
Liposculpture in Male Patients Using Reciprocating
Power-Assisted Liposuction Technology: Techniques and
Results in a Prospective Study. Aesthetic Surgery Journal,
40 (3): 299-307, 2020.
10- Ramasamy K., Tripathee S., Murugesh A., Jesudass J,
Sinha R. and Alagarasan A.R.: A Single-Center Experience
With Gynecomastia Treatment Using Liposuction,
Complete Gland Removal, and Nipple Areola Complex
Lifting Plaster Technique: A Review of 448 Patients. Aesthetic
Surgery Journal Open forum., 5: ojac095, 2023.
11- Escandón J.M., Vyas K.S. and Manrique O.J.: High-Definition
Lipoplasty in Male Patients: A Systematic Review
of Surgical Techniques and Outcomes. Aesthetic Surgery
Journal, 42 (1): 68-85, 2022.
12- Ahmad M.: Prevalence of Gynaecomastia in Male Pakistani
Population. World Journal of Plastic Surgery، 6 (1):
114-6, 2017.
13- Bailey S.H., Guenther D., Constantine F. and Rohrich R.J.:
Gynecomastia Management: An Evolution and Refinement
in Technique at UT Southwestern Medical Center.
Plastic and Reconstructive Surgery Global Open, 4 (6):
e734, 2016.
14- Abdelrahman I., Steinvall I., Mossaad B., Sjoberg F. and
Elmasry M.: Evaluation of Glandular Liposculpture as a
Single Treatment for Grades I and II Gynaecomastia. Aesthetic
Plastic Surgery, 42 (5): 1222-30, 2018.
15- Yoo K.H., Bae J.M., Won C.Y., Chung Y.S., Goo B., Rho
Y.K., et al.: Laser-Assisted Liposuction Using the Novel
1,444-nm Nd:YAG Laser for the Treatment of Gynecomastia:
A Pilot Study. Dermatology (Basel, Switzerland),
231 (3): 224-30, 2015.
16- Shaaban E., Mikki M. and Dahshan H.: Pectoral etching in
early grades gynecomastia. Al-Azhar International Medical
Journal, 2: 22-7, 2021.
17- Maher S, Al-Dabaani W. and Abd El-Hamed A.: Glandular
Gynecomastia Excision Through Axillary Incision Following
Ultra-Sound Assisted Liposuction (UAL) of the
Breast. The Egyptian Journal of Plastic and Reconstructive
Surgery, 42 (1): 55-60, 2018.
Vol. 48, No. 4 / Refinement Techniques for M 272 ale Chest Definition Using UAL
18- HASANYN M.A. and Said S.M.A.: One Stage Ultrasonic-
Assisted Liposculpture Combined With Peri Areolar
Surgical Gland Excision Without Skin Resection: Can
Manage Sever Degrees of Glandular Gynecomastia? The
Egyptian Journal of Plastic and Reconstructive Surgery,
46 (4): 355-60, 2022.
19- Xia Z.N., Kang Y.B., Yang Y.Y., Guan A., Ma X.D., Zhang
Y.W., et al.: Comprehensive aesthetic corrections of gynecomastia
using the reproducible safe and minimally invasive
surgical strategy. Asian Journal of Surgery, 47 (1):
222-8, 2024.
20- Harinatha S.: Male Gynecomastia Correction by Superior
Dynamic Flap Method: A Consistent and Versatile Technique.
World Journal of Plastic Surgery, 9 (1): 33-8, 2020.
21- Caridi R.C.: Total Gynecomastia Removal with Layered
Closure: A Study of 567 Cases. Plastic and Reconstructive
Surgery Global Open, 10 (4): e4256, 2022.
22- Tahseen H. and Taha A.: Gynecomastia; the 5-zones concept.
Plastic and reconstructive surgery Global open, (6):
40-1, 2018.
23- Qadeer A., Hameed S., Ahmad S., Jamshed I., Nayeed
K.U. and Alam K.: Patient satisfaction and outcomes after
liposuction and excision vs liposuction only for gynecomastia
treated in cmh rawalpindi. Biological and Clinical
Sciences Research Journal, 2023: 478, 2023.
24- Keskin M., Sutcu M., Hanci M. and Cigsar B.: Reduction
of the Areolar Diameter After Ultrasound-Assisted Liposuction
for Gynecomastia. Annals of Plastic Surgery, 79
(2): 135-8, 2017