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Outcomes after breast reduction: does size really matter?

Jason A Spector1, Sunil P Singh, Nolan S Karp

  • 1Division of Plastic Surgery, Weill Cornell Medical College, New York, NY 10065, USA. jas2037@med.cornell.edu

Annals of Plastic Surgery
|April 25, 2008
PubMed
Summary
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Reduction mammoplasty significantly improves symptoms for all patients, regardless of breast tissue removed. The amount of tissue resected does not impact symptom improvement after breast reduction surgery.

Area of Science:

  • Plastic Surgery
  • Symptomology Research

Background:

  • Macromastia significantly impacts quality of life.
  • The correlation between tissue resected and symptom improvement in reduction mammoplasty (RM) is not well-established.

Purpose of the Study:

  • To investigate if the amount of breast tissue resected during reduction mammoplasty correlates with symptom improvement.
  • To analyze the impact of varying tissue resection weights on patient-reported outcomes.

Main Methods:

  • A custom questionnaire assessed macromastia symptoms and quality of life pre- and post-surgery.
  • 188 patients were stratified into four groups based on resected tissue weight (≤1000g, 1001-1500g, 1501-2000g, >2000g).
  • Symptom scores were compared across groups.

Main Results:

Related Experiment Videos

  • Reduction mammoplasty significantly improved all analyzed symptoms and quality of life factors (P < 0.000001).
  • No significant differences in pre- or postoperative symptom burden were found across the four groups, except for preoperative lower back pain, shoulder pain, and bra strap grooves.
  • Symptomatic improvement from RM was consistent across all breast size groups.

Conclusions:

  • Preoperative symptom burden in patients seeking reduction mammoplasty is similar across a wide range of breast sizes.
  • The degree of symptomatic improvement following reduction mammoplasty is not significantly influenced by the amount of breast tissue resected.