ArticleAesthetic plastic surgery2026
Role of Ultrasonography in Perioperative Management of Suction-Assisted Lipectomy for Gynecomastia: A Prospective Study.
Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Clinical Classification of Buffalo Hump Based on Appearance and MRI: A Retrospective Study of 383 Cases.Aesthetic plastic surgery · 2026Article
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7 authors.
Funding
Abstract
backgroundGynecomastia, with a prevalence of 40-60%, has gained increasing public recognition. Surgical correction is indicated when the condition persists beyond one year due to irreversible glandular fibrosis unresponsive to pharmacological or weight-reduction interventions. Limited intraoperative visualization remains a challenge; thus, accurate preoperative delineation of glandular characteristics is essential for guiding minimally invasive aspiration procedures. To address this, we implemented a novel triphasic perioperative ultrasound protocol to standardize evaluation and enhance surgical precision.
methodsIn this prospective cohort study, 54 patients (Rohrich grades I-IV) underwent glandular-adipose aspiration using a patented cannula system via an anterior axillary incision. Ultrasonography was integrated throughout the perioperative course: preoperatively for glandular mapping and pectoralis topography, intraoperatively for real-time assessment of residual tissue and resection plane accuracy, and postoperatively for quantification of thickness reduction and scar evaluation at 6 months. Primary outcomes included glandular-adipose reduction rate, BODY-Q satisfaction scores, and complications.
resultsSignificant thickness reduction was observed (left: 13.87 ± 6.23 mm to 5.48 ± 2.35 mm; right: 13.39 ± 2.51 mm to 5.71 ± 2.51 mm; both p < 0.0001). BODY-Q chest satisfaction improved by + 31.6 points (p < 0.001), mean scar satisfaction was 86.12/100, and complication rate was low (1.85%; one case of steroid-responsive hypertrophic scar).
conclusionThis study is the first to systematically integrate ultrasonography across all perioperative stages of gynecomastia surgery. The triphasic ultrasound-guided protocol enables targeted glandular-adipose reduction with significant contour refinement, enhanced patient satisfaction, and objective outcome quantification, underscoring its potential as a standardized approach for optimized management. LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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