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Impact of Obesity in Reduction Mammaplasty
Shayda Mirhaidari MD, Vitali Azouz MD Emily Petrinec BS, Douglas Wagner MD
Summa Health System
2019-02-15
Presenter: Shayda Jeannette Mirhaidari
Affidavit:
I certify that the below information is the original work of the resident and has not been presented elsewhere.
Director Name: Douglas S. Wagner
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: Breast (Aesthetic and Recon.)
BACKGROUND:
Over 106,000 breast reduction surgeries were performed in 2017 making it one of the most frequently performed procedures. Reduction mammaplasty relieves the symptoms of macromastia and improves patient self image. As the obesity epidemic has grown, so has its effect on the macromastia population. Patients facing elective surgery are increasingly more overweight with larger breasts. While obesity has been known to increase complication rates, its effect in the breast reduction population remains inconclusive. The purpose of this study is to evaluate outcomes following breast reduction surgery. Specifically, we seek to see how obesity in relation to body mass index may effect our complication rates.
METHODS:
A retrospective review of patients undergoing breast reduction was performed from January 2014-December 2018. The incidence of complications were recorded and reviewed with respect to patient BMI.
RESULTS:
There were 177 patients who underwent 354 breast reductions. The average age and BMI were 43 and 32.6 respectively. Inferior pedicle was the most commonly performed technique with an average resection of ~778g. Nearly all women had an improvement in their symptoms of macromastia. There were 19 hematomas (5.4%), 19 seromas (5.4%), and 4 infections (1.1%). There were no instances of nipple necrosis, but there were 25 (7.1%) cases of wound dehiscence. A BMI of >30 was found to correlate with an increase in wound healing complications (p<0.05).
CONCLUSION:
Despite an increased likelihood of wound healing complications, breast reduction surgery remains a safe and effective treatment of macromastia in the obese (BMI >30) population.
