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A Comparison of Complication Rates in Wise Pattern Versus Vertical Breast Reduction
Ariel Rodgers1, Hunter Berry2, Robert O'Brien
1From the Department of Surgery, San Joachin General Hospital, French Camp, CA.
Annals of Plastic Surgery
|June 12, 2022
Summary
Vertical pattern breast reduction shows a trend toward fewer complications compared to the Wise pattern, though not statistically significant. Individualized surgical approaches are crucial for patient safety and satisfaction in breast reduction procedures.
Area of Science:
- Plastic Surgery
- Surgical Techniques
- Patient Safety
Background:
- Breast reduction surgery is a common plastic surgery procedure.
- The Wise pattern and vertical pattern are two primary skin reduction techniques.
- Limited comparative data exists on the safety profiles of these breast reduction patterns.
Purpose of the Study:
- To review comparative literature on breast reduction patterns.
- To emphasize the overall risk of complications associated with Wise versus vertical patterns.
Main Methods:
- Literature search of OVID and PubMed for comparative studies.
- Inclusion of case series comparing Wise and vertical breast reduction complication rates.
- Meta-analysis of overall complication rates using odds ratios.
Main Results:
- Eight articles representing 963 patients were analyzed.
- A trend toward a lower overall complication rate was observed with the vertical pattern.
- The difference in complication rates between the two patterns did not reach statistical significance.
Conclusions:
- Vertical pattern breast reduction is a safe procedure.
- A trend towards decreased complications exists with vertical reductions.
- Individualized surgical approaches are essential due to patient heterogeneity.
