Reduction mammoplasty in adolescents and elderly: A ten year case series analyzing age related outcome with focus on safety and complications

Wirthmann, Anna; Welsch, Lena; Wellenbrock, Sascha; Kasper, L.; Schlosshauer, Torsten; Bozkurt, Ahmet; Hüttinger, Susanne; Rieger, Ulrich M.

doi:10.1016/j.bjps.2017.08.026

Cited by 24 publications

(31 citation statements)

References 20 publications

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“…We did not find any difference in postoperative complication rate or satisfaction between BMI groups. This conflicts with most of the current literature [7–10] that describes increased postoperative complications in patients with high BMI classifications. The literature also describes longer operative times and increased hospitalization costs in those with larger body habitus.…”

Section: Discussioncontrasting

confidence: 76%

“…This is in contrast to Corridi et al [28] who found that patients were dissatisfied with breast appearance following massive weight loss with or without preceding breast reduction surgery, suggesting that postoperative weight loss can influence patients’ aesthetic assessment of their breasts. It is also possible that our lower-than-expected complication rates for obese and morbidly obese patients [7–10] may influence the reported satisfaction. Additionally, in contrast to the literature which details hematoma, delayed wound healing and partial or complete nipple loss as common complications following reduction mammoplasty in obese patients, the majority of complications within our cohort were minor.…”

Section: Discussionmentioning

confidence: 99%

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A 12-year review of patient-reported outcomes after reduction mammoplasty in patients with high body mass index

Ngaage

Bai

Gebran³

et al. 2019

Medicine

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Patients with increased body mass index (BMI) are often denied reduction mammoplasty due to concern for high morbidity. There is a paucity of evidence identifying high BMI as a predictor of poor long-term outcomes in reduction mammoplasty. In this study, we investigated the influence of BMI on long-term patient satisfaction following reduction mammoplasty. All patients undergoing reduction mammoplasty over a 12-year period at a single institution were included in the study. A retrospective chart review was conducted to extract demographics, operative data, and postoperative course including complications. Patients were classified into 4 categories based on BMI (normal (<25), overweight (25–29.9), obese (30–39.9), and morbidly obese (≥40)). Patient satisfaction was assessed using a customized survey which was administered over the phone. Only patients with complete medical records who participated in the survey were included. The 70 patients met the inclusion criteria for the study. Median time from surgery to survey was 6 years. Overall satisfaction after reduction mammoplasty was high, 5 on a 5-point Likert scale. The amount of breast tissue resected correlated with patient BMI ( P <.01). There was no statistical difference in satisfaction across BMI classes. Furthermore, high BMI (obese, and morbidly obese) was not associated with higher postoperative complications ( P = .70). Those with a high overall satisfaction score had a significantly greater self-reported aesthetic score compared to those with low and mid satisfied scores ( P <.01). Following reduction mammoplasty, patients report high satisfaction which is sustained over several years. Obesity is not associated with a higher incidence of complications or lower satisfaction. Our data suggest that patients with a high BMI should not be denied reduction mammoplasty out of concern for higher complication rate or reduced patient satisfaction due to BMI alone, but reduction mammoplasty should be considered in the setting of overall health counseling.

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Section: Discussioncontrasting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

A 12-year review of patient-reported outcomes after reduction mammoplasty in patients with high body mass index

Ngaage

Bai

Gebran³

et al. 2019

Medicine

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“…These patients may felt themselves uncared than patients with drains. Complications can occur after reduction mammoplasties and these complication can effect patient satisfaction [22][23][24][25] . Having a complication reduces the post-operative satisfaction with breasts and information, sexual and physical wellbeing, surgeon and medical staff scores significantly as expected.…”

Section: Resultsmentioning

confidence: 99%

Meme küçültme ameliyatı olan hastaların memnuniyetinin Breast-Q anketi ile değerlendirilmesi

Akşam

Oral

2020

Cukurova Medical Journal

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Öz Purpose: The aim of this study is to evaluate the influence of patient demographics, operative techniques and postoperative care on patient satisfaction after breast reduction operations were evaluated in this study. Materials and Methods: Patients who undergo breast reduction surgery were offered to fulfil Breast-Q reduction module survey in pre-operative and post-operative sixth month period. Patient data such as age, height, weight, smoking, marital status and parenting have been recorded. Operative variances such as drain use and cutaneous stitches and complications, post-operative discharge days, staying in a private room were recorded with postoperative survey module. Results: Seventy-six patients were included in this study. The average age was 45.8 and mean body mass index (BMI) was 29.2. Post-operative satisfaction with breasts, psychosocial, sexual and physical wellbeing scores were significantly higher than pre-operative scores. Older women had higher pre-operative scores from satisfaction with breasts and psychosocial wellbeing. Younger patients and normal weight patients had higher scores from postoperative physical wellbeing. Satisfaction with breasts, sexual and physical wellbeing, satisfaction with information, surgeon and medical stuff scores were significantly lower in patients who had a post-operative complication. Conclusion: Surgery without complications is the most powerful factor that increases patient satisfaction. Patient demographics such as age and BMI can be used for patient selection for higher patient satisfaction. Amaç: Bu çalışmada meme küçültme amelyiatı sonrası, hasta demografik özellikleri, ameliyat teknikleri ve ameliyat sonrası bakımın hasta memnuniyetine etkisi değerlendirilmiştir. Gereç ve Yöntem: Meme küçültme ameliyatı geçiren hastalar arasından, ameliyat öncesi ve ameliyat sonrası altıncı aylık dönemde Breast-Q meme redüksiyonu modülü anketi doldurmayı kabul eden hastalar çalışmaya dahil edildi. Hastaların evlilik durumları, çocuk sahibi olup olmadıkları, sigara kullanımı, boy ve kiloları, yaşları ameliyat öncesinde sorularak kaydedildi. Ameliyat sonrası dren kullanılıp kullanılmadığı, cilt dikişleri olup olmadığı, herhangi bir komplikasyon gelişip gelişmediği, postoperatif yatış gün sayısı, hastanede kaldığı odada başka hasta bulunup bulunmadığı sorgulanarak kayıt altına alındı. Bulgular: Çalışmaya 76 hasta dahil edildi. Ortalama yaş 45.8 ve ortalama vücut kitle indeksi (VKİ) 29.2 idi. Ameliyat sonrası memelerden tatmin, psikososyal, cinsel ve fiziksel iyilik hali puanları ameliyat öncesi puanlardan anlamlı derecede yüksekti. Yaşlı kadınlarda memelerden memnuniyet ve psikososyal iyilik hali ameliyat öncesi puanlarda daha yüksekti. Genç hastalar ve normal kilolu hastalar ameliyat sonrası fiziksel iyilikten daha yüksek puan aldı. Ameliyat sonrası komplikasyonu olan hastalarda memelerden memnuniyet, cinsel ve fiziksel iyilik hali, bilgi memnuniyeti, cerrah ve tıbbi malzeme puanları anlamlı olarak düşüktü. Sonuç: Komplikasyon olmayan cerrahinin, hasta memnuniyetini artıra...

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“…(4,10,14) Las complicaciones posoperatorias que afectaron a 34 pacientes (11.3%) de nuestra serie, fueron principalmente menores (solo en 5 pacientes, 1.6%, fueron mayores en forma de hematomas agudos, necrosis unilateral del CAP o necrosis grasa), menos de las presentadas en otras series globales donde alcanzan entre el 14 y el 53%. (16,20) De las pacientes que requirieron reoperación, la mayoría (14%) fueron ambulatorias y con anestesia local, preferentemente para lipoaspiración lateral de la mama (7.7%), motivada porque evitamos este procedimiento durante la cirugía porque favorece la necrosis marginal de los colgajos laterales inferiores. Otro tanto (6.7%) proviene del grupo de pacientes con comorbilidades asociadas, como tabaquismo y obesidad.…”

Section: Discussionunclassified

Mamoplastia de reducción con pedículo central y malla de dermis

Geisse

2021

Cir. plást. iberolatinoam.

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Conflicto de intereses: Los autores declaran no tener ningún interés financiero relacionado con el contenido de este artículo. Financiación: No hubo fuentes externas de financiación para este trabajo. CIRUGÍA PLÁSTICA IBERO-LATINOAMERICANA Original / Series clínicas CIRUGÍA MAMARIA Palabras clave Mamoplastía reducción, Pedículo central, Malla dermis Nivel de evidencia científica 4c Terapéutico Recibido (esta versión) 15 noviembre/2020 Aceptado 18 enero/2021

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Reduction mammoplasty in adolescents and elderly: A ten year case series analyzing age related outcome with focus on safety and complications

Cited by 24 publications

References 20 publications

A 12-year review of patient-reported outcomes after reduction mammoplasty in patients with high body mass index

A 12-year review of patient-reported outcomes after reduction mammoplasty in patients with high body mass index

Meme küçültme ameliyatı olan hastaların memnuniyetinin Breast-Q anketi ile değerlendirilmesi

Mamoplastia de reducción con pedículo central y malla de dermis

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