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Exploring the Rise in Adolescent Reduction Mammaplasty: An 11-Year National Analysis.

Ethan Fung1, Bernice Z Yu, Maxwell Godek

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|April 10, 2025
PubMed
Summary
This summary is machine-generated.

Adolescent reduction mammaplasty (ARM) increased significantly with rising obesity. Higher BMI and ASA class predict complications, though overall rates remain low and operative times decreased.

Keywords:
adolescentbreast reductionobesitypediatricreduction mammaplasty

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Area of Science:

  • Plastic Surgery
  • Pediatric Surgery
  • Public Health

Background:

  • Rising obesity epidemic leads to increased symptomatic macromastia in adolescents.
  • Symptomatic macromastia necessitates surgical intervention at earlier ages.

Purpose of the Study:

  • To analyze trends in adolescent reduction mammaplasty (ARM) from 2012-2022.
  • Identify risk factors for postoperative complications in ARM.
  • Evaluate changes in operative outcomes over an 11-year period.

Main Methods:

  • Utilized the American College of Surgeons National Surgical Quality Improvement Program-Pediatrics (NSQIP-P) database.
  • Included ARM cases for patients aged 18 or younger between 2012 and 2022.
  • Performed trend analysis and logistic regression to identify complication predictors.

Main Results:

  • ARM prevalence surged by 482% over 11 years, mirroring a 58% rise in obesity.
  • Elevated body mass index and higher American Society of Anesthesiologists (ASA) class were significant predictors of complications.
  • Overall complication rate was 4.4%, with superficial surgical site infections at 3.0%; operative time, anesthesia duration, and length of stay decreased.

Conclusions:

  • The increasing prevalence of ARM is closely linked to rising obesity rates.
  • Patients with elevated BMI and higher ASA class face increased risks for ARM complications.
  • Despite trends, ARM demonstrates low overall complication rates with improved operative efficiency.