Outcomes and Outcome Measures in Breast Reduction Mammaplasty: A Systematic Review

Waltho, Daniel; Gallo, Lucas; Gallo, Matteo; Murphy, Jessica; Copeland, Andrea; Mowakket, Sadek; Moltaji, Syena; Baxter, Charmaine; Karpinski, Marta; Thoma, Achilleas

doi:10.1093/asj/sjz308

Cited by 18 publications

(15 citation statements)

References 114 publications

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“…However, the studies included in this review report a limited amount of SF-36 data, and therefore we were limited in the data available for pooled analysis [6,10,21,23]. To address this heterogeneity in outcome reporting, outcome standardization, which is being undertaken in several areas of plastic surgery, would be beneficial [32][33][34][35].…”

Section: Discussionmentioning

confidence: 99%

Impact of Rectus Diastasis Repair on Abdominal Strength and Function: A Systematic Review

Gormley¹,

Copeland

Augustine

et al. 2020

Cureus

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Rectus diastasis plication performed during abdominoplasty aims to narrow the widened linea alba and return the rectus muscle bellies to their anatomic position. It is unclear whether plication improves abdominal strength and function.This systematic review summarizes the effect of rectus plication on abdominal strength, function, and postoperative complications.A comprehensive search of CINAHL, Embase, Medline and Web of Science was performed. Screening and data extraction were performed in duplicate. Data were extracted from the included articles, and outcomes were analyzed categorically.A total of 497 patients from seven articles were included. Mean age was 44.5 years (range 20.5-72) and 94.4% were female. Three articles reported abdominal strength measurements, with two showing significant improvement. Four articles used the SF-36 survey, all demonstrating improvement in physical function subscale postoperatively. An additional six instruments were used to assess functional outcomes, of which four demonstrated significant improvement. The overall complication rate was 17.0%.Rectus plication is commonly performed during abdominoplasty to improve abdominal form and function. While the literature to date is encouraging with respect to functional outcomes, improvements in abdominal strength are less consistent. Heterogeneity in patient population, outcome measures, and comparison groups limit the strength of our conclusions. Future research should include a large comparative study as well as a protocol for standardizing outcomes in this population.

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Section: Discussionmentioning

confidence: 99%

Impact of Rectus Diastasis Repair on Abdominal Strength and Function: A Systematic Review

Gormley¹,

Copeland

Augustine

et al. 2020

Cureus

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“…The lack of uniformity in outcome reporting limited the evidence level to a higher one [ 37 ], as Hassouneh et al stated that inconsistency in result reporting was a significant impediment to the development of effective systematic reviews and meta-analyses comparing multiple surgical interventions in facial plastic surgery [ 38 ]. The standardization of outcomes and outcome measurements can help to restrict incorrect outcomes, avoid reporting bias, and facilitate data pooling in meta-analyses [ 39 ].…”

Section: Introductionmentioning

confidence: 99%

Different Techniques and Quantitative Measurements in Upper lip lift: A Systematic Review

et al. 2023

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Background The upper lip area is an important component of facial aesthetics, and aging produces an increase in the vertical height of the upper lip. Different upper lip lifting techniques are described in the literature. Objectives This systematic review aimed to assess both invasive and noninvasive upper lip lifting techniques with patient satisfaction, adverse effects, and quantitative measurements of lifting efficiency. Methods This study was conducted per PRISMA guidelines. MEDLINE (via PubMed), EMBASE (OvidSP), and Cochrane Library database were searched from September 14, 2022, to October 12, 2022. Inclusion criteria were reporting on upper lip lift efficiency with quantitative measurements of the lifting degree. Results Out of 495 studies through the search strategy, nine articles were included in the systematic review, eight for surgical procedures and one for nonsurgical. Surgical procedures seem to have better longevity than nonsurgical techniques. Reported patient satisfaction for both surgical and nonsurgical treatments was good with no severe complaints. The quantitative measures differ between researches and may be classified into two metrics: anatomy ratio computation using photographic analysis or direct height measurement with a caliper and precise parameters utilizing a three-dimensional method. Conclusion In general, surgical therapies seem to have a longer-lasting lifting effect on upper lip lifts with an inevitable scar, while nonsurgical techniques are minimally invasive but temporary. There was a lack of consistency in the measurements used to assess lifting efficiency. A consistent quantitative assessment can be beneficial for both clinical decision-making and high-level evidence research. Level of Evidence III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 . Supplementary Information The online version contains supplementary material available at 10.1007/s00266-023-03302-5.

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“…For these reasons, breast reduction surgery is among the procedures frequently performed by plastic surgeons. In 2018, breast reduction surgery was performed on approximately 84.600 patients in the USA [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of Reduction Mammoplasty on Insulin and Lipid Metabolism in the Postoperative Third month: Compensatory Hip Enlargement

Baş

Akkus

et al. 2021

Aesth Plast Surg

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Backgrounds The positive effects of reduction mammoplasty on metabolic profile have been shown in a limited number of studies. This study objective to reveal the effects of reduction mammoplasty on metabolic profile and anthropometric measurements. Subjects and MethodThe study was prospectively conducted on 42 patients who were operated between April 2019 and March 2020. Fasting plasma glucose, fasting plasma insulin, total cholesterol, triglyceride, high-density lipoprotein and low-density lipoprotein cholesterol, HgA1c, homeostasis model assessment scores, adiponectin, leptin, and resistin levels were evaluated. In addition, age, height, weight, body mass index; breast, chest, waist, hip circumference; waist-hip ratio, and bilateral breast resection tissue weights were recorded. Data and blood samples were collected one hour before the operation, 6 and 12 weeks after the operation. Result The patients' mean age was 43.14±10.24, and their average height was 159.42±4.96 cm. The excised bilateral dermo fatty tissue weight was 1435.85±721.16 g. At the postoperative 40th day a decrease in leptin (p = 0.001), resistin (p =0.008), glucose (p = 0.021) and insulin resistance values (p=0.013) stated. There was an increase in adiponectin (p \ 0.001) and HDL (p = 0.013) levels at the postoperative 40th day. In the postoperative third month, these data returned to the previous levels that were measured before operations. However, an increase in hip circumference (p = 0.034) and a decrease in waist-hip ratio (p\0.001) was detected in third month. Also, there was no difference in body mass index and weight compared to preoperation. Conclusion After reduction mammoplasty, compensatory fat growth in the hip area, an increase in the hip circumference, and a decrease in the waist-hip ratio were observed in the postoperative third month.

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Outcomes and Outcome Measures in Breast Reduction Mammaplasty: A Systematic Review

Cited by 18 publications

References 114 publications

Impact of Rectus Diastasis Repair on Abdominal Strength and Function: A Systematic Review

Impact of Rectus Diastasis Repair on Abdominal Strength and Function: A Systematic Review

Different Techniques and Quantitative Measurements in Upper lip lift: A Systematic Review

Effect of Reduction Mammoplasty on Insulin and Lipid Metabolism in the Postoperative Third month: Compensatory Hip Enlargement

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