DOI: 10.36347/sasjs.2024.v10i01.019

Pages: 107-113

Gynecomastia is a benign glandular proliferation of the male breast, which can be unilateral or bilateral, acute or chronic. It can be a source of psychological discomfort, raise fears of breast cancer and sometimes be a sign of serious endocrine or systemic disease. In the case of symptomatic gynecomastia, medical treatment is likely to be ineffective and surgery is the ideal treatment. In general, surgery frequently consists of mastectomy preceded by liposuction. The aim of our study was to analysis the epidemiological, anthropometric and clinical aspects of gynecomastia in our structure. A comparative study of the different surgical techniques will also be included, in order to obtain the best possible result, especially in aesthetic aspects. This is a retrospective study of 16 patients treated for gynecomastia who underwent surgical treatment at the Department of Aesthetic Plastic Reconstructive and Burn Surgery, CHU Tanger-Tétouan-Al Hoceima between March 2021 and October 2023. The average age of our patients was 27 years. 56% had a history of pubertal gynecomastia, 12.5% had a history of drug use, 37.5% were overweight and 31.25% were obese. The reasons for consultation were aesthetic problems in the majority of cases (81%) and cancer phobia in 19%. 62.5% were classified as having predominantly glandular gynecomastia, with Simon's grade IIa (44%) being the most common. The hormonal check-up was normal in all our patients. Concerning surgical techniques, subcutaneous mastectomy preceded by liposuction was applied in the majority of patients 94%, and subcutaneous mastectomy alone was applied in only 1 patient. We didn't observe any post-operative complications in any of our patients, and most of them were satisfied with the aesthetic results. The combination of mastectomy and liposuction is indispensable, as almost all types of gynecomastia consist of glandular and fatty hypertrophy, so these two techniques have guaranteed fewer complications and more ..........