Reduction mammoplasty is one of the most common procedures performed by plastic surgeons. Surgeons select the technique that best suits each patient based on the surgeon’s experience, specific patient characteristics and requirements. The purpose of this article is to report the complications that occurred in patients who underwent reduction mammoplasty at our institution, and to compare our data to the current lit-erature. We studied the postoperative complications from 82 breast reductions (41 patients), which used superior pedicle (n = 6), inferior pedicle (n = 36), medial pedi-cle (n = 10) or Thorek (n = 30) techniques. The most common postoperative compli-cations were hematoma (7%), seroma (2.5%), delayed wound healing (14%), partial nipple loss (4.8%), infection (10%) and asymmetry (12%). We observed complica-tions in 64% of patients that underwent inferior pedicle breast reduction with an in-verted T scar. One possible explanation for this complication rate is that inferior pedi-cle Wise-pattern mammoplasty is usually performed for breasts with sternal notch-to-nipple distances greater than 32 cm, or for symptomatic macromastia, and greater amounts of resected tissue are known to be associated with higher complication rates. Nevertheless, this technique is associated with excellent patient satisfaction. Indeed, complications are quite frequent and may occur even in the most suitable candidates, but do not compromise the final result.

Breast reduction: A case series analysis / Grieco, Michele P; Simonacci, Francesco; Bertozzi, Nicolã; Grignaffini, Eugenio; Raposio, Edoardo. - In: EUROMEDITERRANEAN BIOMEDICAL JOURNAL. - ISSN 2279-7165. - 11:22(2016), pp. 157-164. [10.3269/1970-5492.2016.11.22]

Breast reduction: A case series analysis

GRIECO, Michele Pio;SIMONACCI, FRANCESCO;GRIGNAFFINI, Eugenio;RAPOSIO, Edoardo
2016

Abstract

Reduction mammoplasty is one of the most common procedures performed by plastic surgeons. Surgeons select the technique that best suits each patient based on the surgeon’s experience, specific patient characteristics and requirements. The purpose of this article is to report the complications that occurred in patients who underwent reduction mammoplasty at our institution, and to compare our data to the current lit-erature. We studied the postoperative complications from 82 breast reductions (41 patients), which used superior pedicle (n = 6), inferior pedicle (n = 36), medial pedi-cle (n = 10) or Thorek (n = 30) techniques. The most common postoperative compli-cations were hematoma (7%), seroma (2.5%), delayed wound healing (14%), partial nipple loss (4.8%), infection (10%) and asymmetry (12%). We observed complica-tions in 64% of patients that underwent inferior pedicle breast reduction with an in-verted T scar. One possible explanation for this complication rate is that inferior pedi-cle Wise-pattern mammoplasty is usually performed for breasts with sternal notch-to-nipple distances greater than 32 cm, or for symptomatic macromastia, and greater amounts of resected tissue are known to be associated with higher complication rates. Nevertheless, this technique is associated with excellent patient satisfaction. Indeed, complications are quite frequent and may occur even in the most suitable candidates, but do not compromise the final result.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11381/2829376
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