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Expanding Global Surgery Services to Include Reduction Mammaplasty Procedures.
Chrysis Sofianos1, Kyara Kruger2
1From the Division of Plastic and Reconstructive Surgery, Department of Surgery, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Plastic and reconstructive surgery, including reduction mammaplasty, significantly improves quality of life (QoL) and is cost-effective. Expanding essential surgical care to include reduction mammaplasty can benefit patients in developing countries.
Area of Science:
- Global surgery
- Plastic and reconstructive surgery
- Quality of Life (QoL)
Background:
- Global surgery aims for equitable and improved surgical services, yet surgical care's role in disease burden was underestimated due to complexity and cost.
- A functional health system requires high-quality, accessible, and timely surgical care.
Purpose of the Study:
- To review the role of plastic and reconstructive surgery in global surgery programs.
- To explore the impact of reduction mammaplasty on quality of life (QoL).
- To define emergency and essential surgical care within global surgery contexts.
Main Methods:
- Literature review on plastic surgery in global programs, reduction mammaplasty, and QoL.
- Exploration of definitions for emergency and essential surgical care.
- Identification of reduction mammaplasty as the most researched aesthetic procedure for QoL.
Main Results:
- Plastic surgery addresses a significant portion of the global surgical disease burden, particularly in low- to middle-income countries.
- Reconstructive surgery, including reduction mammaplasty, is increasingly recognized for its impact on psychological well-being and overall health.
- Essential surgery includes low-cost procedures to prevent disability, with reconstructive plastic surgery demonstrably improving QoL.
Conclusions:
- Reduction mammaplasty is cost-effective and improves patient QoL, offering substantial benefits in developing nations.
- Consideration should be given to incorporating reduction mammaplasty into essential surgical care packages.
- Expanding essential surgical care can enhance global health equity and patient outcomes.

