Gynecomastia Surgery-Impact on Life Quality: A Prospective Case-Control Study

Ann Plast Surg. 2017 Mar;78(3):264-268. doi: 10.1097/SAP.0000000000000860.


Objective: To evaluate the results of surgical treatment of gynecomastia in the context of quality of life and satisfaction after the surgery.

Methods: Fifty male patients (mean age, 25.1 years [SD = 8 years]) who underwent surgery for gynecomastia and completed both (preoperative and postoperative) stages of the study were included in the analysis. The quality-of-life evaluation instrument was The Short Form-36 Health Survey Questionnaire. Additionally, we used a short questionnaire including 2 questions about patient satisfaction with gynecomastia surgery.

Results: The overall change in life satisfaction after gynecomastia surgery was 1 point on Likert scale (sign test, P < 0.0001). Participants after gynecomastia surgery scored significantly higher than before the procedure in all Short Form-36 Health Survey Questionnaire domains as well as in 2 main scales Psychical and Physical Health. The changes were especially visible for the domain social functioning and a scale Psychical Health (P < 0.0001).

Conclusions: Gynecomastia surgery significantly improved men's life quality in all aspects and especially in the social aspect and psychical health. This indicates that adult men with gynecomastia are a specific group of patients, in which surgery may result in life quality improvement even over the average scores.

Publication types

  • Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Case-Control Studies
  • Follow-Up Studies
  • Gynecomastia / psychology
  • Gynecomastia / surgery*
  • Health Status Indicators*
  • Humans
  • Male
  • Mammaplasty* / psychology
  • Middle Aged
  • Patient Satisfaction / statistics & numerical data
  • Prospective Studies
  • Quality of Life*
  • Surveys and Questionnaires
  • Treatment Outcome
  • Young Adult