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Related Experiment Video

Updated: Jul 2, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

Breast reduction: does the tumescent technique affect reimbursement?

Jonathan L Kaplan1, Sylvia Rotemberg, Randall Yetman

  • 1Baton Rouge, La.; and Cleveland, Ohio From the Division of Plastic Surgery, Louisiana State University, and the Department of Plastic Surgery and the Department of Quantitative Health Sciences, Cleveland Clinic Foundation.

Plastic and Reconstructive Surgery
|September 4, 2008
PubMed
Summary

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The tumescent technique for breast reduction offers shorter operative times compared to traditional methods. This study demonstrates its advantages without affecting resected weight measurements for insurance reimbursement.

Area of Science:

  • Plastic Surgery
  • Surgical Techniques

Background:

  • Breast reduction surgery involves various techniques with differing pedicle and scar locations.
  • Preoperative epinephrine infiltration is a variation aimed at reducing blood loss and operative time.
  • The impact of specific breast reduction techniques on insurance reimbursement requires further investigation.

Purpose of the Study:

  • To compare the tumescent breast reduction technique with epinephrine infiltration against traditional methods.
  • To evaluate the effect of the tumescent technique on operative time, blood loss, pain, and resected weight.
  • To assess the influence of the tumescent technique on insurance reimbursement based on resected weight.

Main Methods:

  • A prospective study comparing two groups of 50 patients each.

Related Experiment Videos

Last Updated: Jul 2, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

  • Group 1: Traditional breast reduction without epinephrine infiltration and using electrocautery.
  • Group 2: Tumescent breast reduction with epinephrine infiltration and sharp resection.

    • Main Results:

    • Patients undergoing the tumescent technique experienced shorter operative times.
    • Blood loss and pain levels were similar between the tumescent and traditional techniques.
    • The tumescent technique did not significantly alter resected specimen weight compared to dry, pathologic weight.

    Conclusions:

    • The tumescent technique for breast reduction presents significant advantages over traditional methods.
    • Concerns regarding inaccurate weight measurements due to tumescence, potentially affecting insurance reimbursement, were refuted.
    • This study provides the first large prospective cohort evidence supporting the tumescent technique.