Comparative Analysis of Periareolar and Trans-Nipple Incision Techniques in Gynecomastia Surgery: Clinical Outcomes and Patient Satisfaction

# Background Gynecomastia, the benign enlargement of male breast tissue, affects a significant proportion of males across various age groups, causing physical and psychological distress. Surgical correction is the primary treatment for persistent gynecomastia, with several incision techniques available. The comparative efficacy of the peri areolar and trans-nipple incision approaches remains unclear. # Objective The objective of this study was to prospectively compare the clinical outcomes, aesthetic results, and patient satisfaction between the peri areolar and trans-nipple incision techniques for gynecomastia surgery. # Methods This prospective comparative study was conducted at the Department of Burns & Plastic Surgery, B.J. Medical College, Ahmedabad, between August 2022 and July 2024. Thirty male patients with idiopathic gynecomastia were enrolled and divided into two groups (n=15 each): peri areolar incision and trans-nipple incision. Primary outcome: patient satisfaction at 6 months. Secondary outcomes: operative time, complications, and aesthetic results. # Results The peri areolar incision technique demonstrated superior outcomes, including shorter operative time (85 minutes vs 113 minutes, p