Effect of reduction mammoplasty on the pulmonary function tests

Area of Science:

• Plastic Surgery
• Pulmonary Medicine
• Respiratory Physiology

Background:

• Bilateral breast reduction is a common procedure for breast hypertrophy, addressing aesthetic concerns and somatic pain.
• Patients seek surgery for breast size reduction and relief from shoulder, chest, back, and neck pain.
• Potential objective benefits beyond aesthetics are explored, particularly regarding pulmonary function.

Purpose of the Study:

• To investigate the effects of bilateral breast reduction surgery on pulmonary function.
• To assess changes in pulmonary function tests (PFTs) and carbon monoxide diffusion capacity (DLCO) before and after surgery.

Main Methods:

• A study involving 19 patients who underwent bilateral breast reduction surgery.
• Pulmonary function tests (PFTs) and DLCO measurements were conducted preoperatively and 6 months postoperatively.
• Lung roentgenograms, height, weight, body mass index, and saturation levels were also recorded.

Main Results:

• A significant increase in forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) was observed post-surgery.
• A significant decrease in diffusing capacity of the lungs for carbon monoxide (DLCO) was noted in the postoperative period compared to the preoperative period.

Conclusions:

• Bilateral breast reduction surgery appears to positively influence PFT values, potentially improving respiratory mechanics.
• The findings suggest that patients with significant breast hypertrophy experiencing shortness of breath should be evaluated for potential benefits from breast reduction surgery.