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Subjective comparison of six different reduction mammoplasty procedures
1Department of Surgery, UMDNJ-Robert Wood Johnson University Hospital, New Brunswick 08903-0019.
Aesthetic Plastic Surgery
|January 1, 1991
Summary
The H/B mammoplasty procedure best achieves an ideal reduction mammoplasty, offering youthful results with minimal scarring and complications. This study compared six techniques, finding H/B superior for patient satisfaction and outcomes.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
Background:
- Increasing demand for ideal reduction mammoplasty among young patients.
- Ideal outcomes include youthful appearance, minimal scarring, preserved lactation, erotic sensitivity, and no complications.
Purpose of the Study:
- Subjectively compare six reduction mammoplasty procedures.
- Identify the procedure that best aligns with the concept of an "ideal" outcome.
Main Methods:
- Mail questionnaire assessing preoperative complaints, postoperative appearance, and complications.
- Subjective comparison of six distinct reduction mammoplasty techniques.
Main Results:
- Over 95% of preoperative complaints were alleviated across all groups.
- McKissock's and Robbins' procedures excelled in nipple-areola position; free nipple group favored breast symmetry.
- The modified Regnault (H/B) group demonstrated the lowest complication rate, with 33% experiencing lactation failure and 26% loss of erotic sensation >6 months.
Conclusions:
- The H/B mammoplasty procedure was rated best overall.
- H/B procedure shows superior results compared to the "ideal" reduction mammoplasty concept.
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