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Outpatient reduction mammaplasty: an eleven-year experience
W Grant Stevens1, Andrew J L Gear, David A Stoker
1Marina Plastic Surgery Associates and the Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Aesthetic Surgery Journal
|December 17, 2008
Summary
Outpatient reduction mammaplasty is a safe and effective procedure. This study of 884 breast reductions found a 14% overall complication rate, comparable to published data, supporting its use in accredited facilities.
Area of Science:
- Plastic Surgery
- Surgical Outcomes
- Outpatient Procedures
Background:
- Reduction mammaplasty is increasingly performed on an outpatient basis.
- Few outcome studies have been published on outpatient breast reduction surgery.
Purpose of the Study:
- Document clinical outcomes of reduction mammaplasty in an outpatient setting.
- Compare results with published normative values in plastic surgery literature.
Main Methods:
- Retrospective review of 884 reduction mammaplasties in 444 patients (1995-2006).
- Laser-assisted, inferior pedicle, Wise pattern technique used.
- Complications stratified into minor and major categories.
Main Results:
- Overall complication rate was 14% (0.67% major complications).
- Higher complication rate (21%) observed in patients with BMI above the mean.
- No increased complication rate with multiple procedures.
Conclusions:
- This series is the largest to date on outpatient reduction mammaplasty.
- Complication data support the safety and efficacy of outpatient reduction mammaplasty.
- Accredited facilities are recommended for outpatient breast reduction surgery.