Risk of Concomitant Abdominoplasty and Breast Surgery versus Isolated Procedures: A Systematic Review and...

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Surgical Outcomes

Background:

• Concomitant abdominoplasty and breast surgery is increasingly popular for comprehensive esthetic rejuvenation.
• Concerns exist regarding increased perioperative risks compared to isolated procedures.

Purpose of the Study:

• To compare complication rates between concomitant abdominoplasty and breast surgery versus isolated procedures.

Main Methods:

• Systematic literature search of major databases (PubMed, EMBASE, Web of Science, Cochrane Library).
• Inclusion of studies comparing complication rates in patients undergoing abdominoplasty, breast surgery, or both.
• Random-effects meta-analysis to calculate pooled odds ratios, with risk of bias and certainty of evidence assessments.

Main Results:

• Eight studies with 138,020 patients were analyzed.
• No significant difference in overall complications between combined and isolated procedures (OR 1.11).
• Increased risk compared to breast surgery alone (OR 2.71), but comparable to abdominoplasty alone (OR 0.66).

Conclusions:

• Combined abdominoplasty and breast surgery have a complication profile similar to abdominoplasty alone.
• The risk is elevated relative to breast surgery alone.
• Combined procedures are generally safe in carefully selected patient populations.