The Effect of Suction-Assisted Liposuction on Reduction of Diameter of Nipple-Areola Complex Among Patients with Simon Grade IIb and III Gynecomastia

Gynecomastia is a condition in which the gland and fat tissue enlarge in the breasts of men. High-grade gynecomastia (Simon grades IIb and III) is associated with an enlarged nipple-areola complex. In this study, 21 patients with grade IIb and 9 patients with grade III who underwent suction-assisted liposuction between September 2018 and January 2020 were included. The historical patient records including physical examination, Simon grade of gynecomastia, horizontal diameter of nipple-areola complex, age, and pre-operative–post-operative photos were analyzed. The median of the horizontal diameter of nipple-areola complex was 3.7 cm in the pre-operative measurement, and the post-operative horizontal diameters varied from 2.6 to 3.1 cm, 3 months after surgery. The pre-operative and post-operative horizontal diameters of nipple-areola complex were compared using the Mann–Whitney test which revealed that the diameters significantly decreased after the operation. It can be concluded that suction-assisted liposuction provides a sufficient reduction concerning the diameter of nipple-areola complex without scar formation.