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Aesthetic and Functional Outcomes of Reduction Mammoplasty for Gigantomastia: Insights from a Multidimensional
Adrian Ranferi Gil-Rabanales1, Victor Hugo Garzón-Ortega1,2, Daniela Téllez-Palacios1
1Department of Plastic and Reconstructive Surgery, Hospital General "Dr. Manuel Gea González", Mexico City, Mexico.
World Journal of Plastic Surgery
|July 13, 2026
Summary
Reduction mammoplasty improves physical well-being and surgical satisfaction for breast hypertrophy patients. However, aesthetic and psychosocial outcomes require better preoperative counseling to manage patient expectations.
Area of Science:
- Plastic Surgery
- Patient Outcomes
- Quality of Life
Background:
- Breast hypertrophy significantly impacts quality of life, causing pain, poor posture, and psychological distress.
- Reduction mammoplasty is a surgical intervention to address these challenges.
- Patient satisfaction with aesthetic and functional results is crucial.
Purpose of the Study:
- To evaluate patient satisfaction with aesthetic and functional outcomes after reduction mammoplasty.
- To identify areas of high and low satisfaction post-surgery.
- To inform improvements in preoperative counseling.
Main Methods:
- Retrospective, cross-sectional analysis of 16 patients undergoing reduction mammoplasty for gigantomastia.
- Data collected included demographics, surgical indications, resected tissue weight, and BREAST-Q responses.
- Assessment of satisfaction with breast appearance, surgical outcomes, and psychosocial, physical, and sexual well-being.
Main Results:
- High satisfaction reported for surgical outcomes (87.5%) and physical well-being (93.7%).
- Significant dissatisfaction noted for breast appearance (56.2%), psychosocial well-being (100%), and sexual well-being (81.2%).
- Primary indication was physical discomfort (62.5%); mean resected tissue was 501-1000g.
Conclusions:
- Reduction mammoplasty effectively enhances physical health and surgical satisfaction.
- Persistent dissatisfaction with aesthetic and psychosocial aspects necessitates improved preoperative counseling.
- Tailored discussions are essential to align patient expectations with surgical results for better overall care.