Objective To observe the clinical effect of minimally invasive rotational curettage combined with water-assisted liposuction (WAL) in the treatment of gynecomastia (GYN) patients.

Methods The clinical data of 80 GYN patients were retrospectively analyzed. According to different surgical

Methods , the patients were divided into minimally invasive surgery group (41 cases) and study group (39 cases). The minimally invasive surgery group underwent minimally invasive rotational curettage, while the study group underwent minimally invasive rotational curettage combined with WAL. The surgical indicators, pain intensity 24 hours postoperatively, postoperative complications, and subjective satisfaction were observed and compared between the two groups.

Results The unilateral surgical duration in the study group was shorter than that in the minimally invasive surgery group, with a statistically significant difference (P < 0.05). No statistically significant differences were found in unilateral incision length, intraoperative blood loss, and postoperative hospital stay between the two groups (P>0.05). No statistically significant difference was found in pain intensity 24 hours postoperatively between the two groups (P>0.05). The incidence of postoperative complicationsin the study group was 5.13%, which was lower than 21.95% in the minimally invasive surgery group (P < 0.05). The study group had higher satisfaction scores for chest flatness without depression and breast symmetry than the minimally invasive surgery group (P < 0.05).

Conclusion Compared with minimally invasive rotational curettage alone, the combination of minimally invasive rotational curettage and WAL for GYN patients

Results in shorter surgical duration, a lower incidence of postoperative complications, and higher patient satisfaction with breast appearance.