Publication:

Effect of energy-based devices on skin retraction in gynaecomastia in comparison to conventional techniques: a prospective observational study

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.