摘要

Objectives: To evaluate the efficacy and safety of integrating energy-based devices as adjuncts to liposuction in achieving superior aesthetic outcomes in higher grades of male gynecomastia, with a focus on skin retraction, contour improvement, and patient satisfaction. Introduction: Higher grades of male gynecomastia, poses unique challenges in achieving optimal aesthetic outcomes. Traditional liposuction is the cornerstone treatment to remove the fat but in advanced cases it would be challenging to address the associated skin laxity and glandular tissue. Our study explores the efficacy of combining liposuction with energy-based devices in managing higher grades of gynecomastia. Materials / method: In our study, we have included grade 2b and grade 3 gynecomastia based on clinical examination. We have done Ultrasonic liposuction to melt the fat and then remove the fat via suction, then we have used bipolar radiofrequency device and microneedling radiofrequency device to tighten the skin. We have done analysis of 30 clinical cases of higher grades of gynecomastia and evaluated parameters like skin retraction, contour improvement, and patient satisfaction. Results: In our study we have found synergistic benefits of using energy-based devices enhancing skin tightening, improves glandular breakdown and reduces need for extensive surgical excision. These technologies help to reduce prolonged recovery and minimalize complications to achieve superior aesthetic outcomes. Conclusion: Our study highlights the transformative potential of combining energy-based devices with liposuction in managing advanced male gynecomastia. By addressing both fat removal and skin tightening, this approach offers a comprehensive solution, setting a new standard for aesthetic outcomes in higher-grade cases.