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Postreduction Breast Augmentation.

David A Hidalgo1, Melissa A Doft1

  • 1Division of Plastic Surgery, Weill Cornell Medical College, New York, N.Y.

Plastic and Reconstructive Surgery. Global Open
|November 19, 2015
PubMed
Summary
This summary is machine-generated.

Many women seek breast augmentation after breast reduction surgery to improve shape, not just volume. This revision surgery, often years later, addresses changes from weight loss or pregnancy with good outcomes.

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Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Breast Surgery

Background:

  • Most breast reduction patients are satisfied post-surgery.
  • A subset of women later seek breast augmentation to restore lost volume.
  • Changes are often linked to weight loss and postpartum effects, necessitating aesthetic revision.

Purpose of the Study:

  • To review the experiences of two surgeons performing post-reduction breast augmentation.
  • To analyze patient motivations, surgical techniques, implant variables, and complications.

Main Methods:

  • Retrospective review of 20 patients undergoing revision breast augmentation between 2002 and 2014.
  • In-depth chart review for patient motivation, operative techniques, and implant details.
  • Comparison of reduction specimen weight to implant volume and reporting of complications.

Main Results:

  • Average patient age was 37.1 years (BMI 21.8 kg/m²).
  • Most patients (11/20) sought revision due to pregnancy changes, while 8/20 cited weight loss.
  • Nineteen patients desired improved breast shape over increased volume, with average implants of 203.5 cm³; two complications occurred.

Conclusions:

  • A subset of reduction mammaplasty patients pursue augmentation primarily for contour improvement, not volume restoration.
  • Conservative augmentation combined with shape and areolar revision offers favorable results.
  • Revision surgery demonstrates minimal complications when addressing aesthetic concerns post-reduction mammaplasty.