Effect of energy-based devices on skin retraction in gynaecomastia in comparison to conventional techniques: a prospective observational study
DOI:
https://doi.org/10.18203/2349-2902.isj20262460Keywords:
Chest contouring, Gynecomastia, Nipple–areola complex, Power-assisted liposuction, Radiofrequency-assisted liposuction, Skin retractionAbstract
Background: Gynecomastia is a common benign condition in males that often requires surgical correction to achieve satisfactory aesthetic outcomes. Power-assisted liposuction (PAL) is widely used; however, optimal skin retraction remains challenging.
Methods: This prospective cohort study evaluated whether the addition of radiofrequency-assisted liposuction (RFAL) to PAL results in superior skin retraction compared with PAL alone in patients undergoing gynecomastia surgery.
Results: A total of 32 patients were equally divided into PAL alone and RFAL+PAL groups. Baseline demographic characteristics and Simon’s grading were comparable between the groups. Both techniques resulted in progressive improvement in nipple–areola complex size and positioning over 6 months; however, the RFAL+PAL group demonstrated significantly greater reduction in NAC horizontal diameter and improved positioning (p<0.001).
Conclusions: The addition of RFAL to PAL significantly enhances skin retraction and aesthetic outcomes in gynecomastia surgery, providing superior NAC reduction, improved alignment and sustained contour refinement compared with PAL alone.
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