Study Of Patient Satisfaction For Gynaecomastia Correction; Excision Vs Liposuction: A Review Of Our Experience: Questionnaire Based Study

Study Of Patient Satisfaction For Gynaecomastia Correction; Excision Vs Liposuction

Abstract

Background: Gynaecomastia is a common problem in the male population with a reported prevalence of up to 36%. Many treatments have been described but none have gained universal acceptance. We reviewed all gynaecomastia patients operated on by one consultant; liposuction done in all cases over a 1-year period to assess the morbidity and complication rates associated with the procedure. Material And Methods: Clinical notes and outpatient records of all patients who underwent gynaecomastia correction between 01/11/2018 to 31/10/2019 were retrospectively reviewed. A modified version of the Breast Evaluation Questionnaire was used to assess patient’s satisfaction with the procedure. Result: Twenty two patients and were operated on during the study period. Patients with bilateral Gynaecomastia and Grade III (18 patients) were included in the study. Half the patients underwent liposuction alone and the other half underwent excision alone. Twelve operated breasts (6/18 , 33.3%) experienced some form of complication. Minor complications included seroma , superficial wound dehiscence post and wound dehiscence with minor bleeding not requiring theatre. Patients who developed haematomas required evacuation in theatre. No cases of wound infection, major wound dehiscence or revision surgery were encountered. All (100%) returned the patient satisfaction questionnaire. Patients scored an average 4.5 with regards comfort of their chest in different settings, 4 with regards chest appearance in different settings, and 4 with regards satisfaction levels for themselves and their partner/family. Overall complication rates among the excision only group was the highest (44.4%) as compared to the liposuction only group (22.2%).Conclusion: Gynaecomastia is a complex condition which poses a significant challenge to the plastic surgeon. Despite the possible complications our case series demonstrates that outcomes of operative correction can be favourable and yield high levels of satisfaction from both patient and surgeon. The classical excision method had slightly higher patient satisfaction rates despite higher complication rates. [Makadia M Natl J Integr Res Med, 2020; 11(5):17-20]