DOI: 10.36347/sjams.2018.v06i09.083

Pages: 3653-3661

Gynecomastia is emerging as a commonest male breast condition in the present world. Inspite of being benign it deals a huge physiological embarrassment to the patient and social disconnection in family or peer groups. Most common presentation is idiopathic. Traditionally in the barbaric era crude excision used to be the treatment of choice which is highly unacceptable in the present aesthetic oriented society. In the course of evolution, it changed from crude excision to minimal or small incision approach to liposuction to meet realistic expectations of a young adult. Surgical approach is centered on the constituents of gynecomastia i.e. amount of fat and gland volume which is appreciated clinically as mild, moderate or severe but unfortunately there is no way to quantify them absolutely . We conducted a study on 34 patients (49 breasts) using Anthropometric method to quantify the breast fat volume to decide the appropriate surgical technique pre-operatively inspite of deciding it intra-operatively on table. Patients were divided into two groups (group I- liposuction plus excision & group II- liposuction).