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Updated: Jan 7, 2026

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How Does Operative Time Affect Outcomes in Breast Reduction Surgery?

Derek B Asserson1, Grayson P Hetherington2, Julia Isber2

  • 1Division of Plastic and Reconstructive Surgery, The University of Tennessee Health Science Center, Memphis, Tennessee, USA.

Plastic Surgery (Oakville, Ont.)
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Summary
This summary is machine-generated.

The surgeon

Keywords:
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Area of Science:

  • Plastic Surgery
  • Surgical Outcomes
  • Patient Safety

Background:

  • Reduction mammaplasty treats macromastia.
  • Higher body mass index (BMI) correlates with increased complication risk.
  • Impact of operative time on outcomes is less understood.

Purpose of the Study:

  • Investigate the influence of surgery length and surgeon on reduction mammaplasty outcomes.
  • Identify key predictors of complications in this procedure.

Main Methods:

  • Retrospective chart review of bilateral reduction mammaplasty patients (Jan 2020 - Aug 2024).
  • Multivariable regression analysis assessing operative time, BMI, and surgeon.
  • Receiver operating characteristic (ROC) analysis for complication prediction modeling.

Main Results:

  • 102 patients analyzed; average BMI 33.4, average surgery length 229.7 min.
  • Overall complication rate was 24.5%.
  • Operative time alone did not significantly increase complications, but surgeon, operative time, and BMI together predicted outcomes (AUC=0.65, P=0.04).

Conclusions:

  • Operative time does not appear to independently alter reduction mammaplasty complication rates.
  • Incorporating surgeon into predictive models with operative time and BMI significantly improves complication discrimination.
  • Highlights the critical role of surgeon experience in patient outcomes for reduction mammaplasty.