SUMMARY: Breast reduction is effective in treating symptomatic @entity21879 . Access to surgery is sometimes limited for overweight and @entity28 @entity1 for fear of complications. We studied the impact of body weight on @entity260 in a consecutive series of 273 Finnish @entity1 who underwent breast reduction using either superior pedicle (n=94) or inferior pedicle (n=175) techniques; 78% of the @entity1 were overweight (body mass index>25). An inferiorly based pedicle was preferred in @entity28 and big-breasted @entity1 (P<0.001), and the mean amount of resection per breast was greater using the inferior 2 pedicle technique (888 g vs 431 g with superior pedicle technique, P<0.001). @entity260 were frequent (52%) but overall complication rate did not correlate with body weight, body mass index, age, surgical technique or surgeon's experience (consultant vs senior registrar). The most common complication was @entity245 due to superficial @entity281 (26%), @entity39 or wound @entity6783 (18%), followed by @entity281 (8%) and @entity2080 formation (8%). In @entity28 @entity1 , @entity39 was more frequent than in @entity1 with normal weight (6% vs 0%, P=0.007). The amount of resection and the distance between clavicle and @entity4098 were also associated with a risk of @entity39 (P<0.05). @entity2080 were more frequent after superior pedicle than after inferior pedicle reduction (14% vs 5%, P=0.019). The use of antibiotics did not affect the @entity281 risk. Surgical revisions were needed in 23% of the @entity1 , for @entity245 (8.8%), @entity548 (4.0%), @entity281 (1.1%) and scars or puckers (13%). Reoperations were more frequent after operations performed by senior registrars (34% vs 16%, P=0.001). Our results indicate that @entity28 does not increase the complication risk in breast reduction surgery to the extent that access to reduction mammaplasty should be restricted based solely on body mass index.

XXXX and complications in breast reduction surgery: are restrictions justified?

@entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obese', 'obesity'] @entity39 :: ('MESH:D009336', 'Disease') :: ['areola necrosis', 'skin necrosis'] @entity548 :: ('MESH:D006470', 'Disease') :: ['haemorrhage'] @entity2080 :: ('MESH:D049291', 'Disease') :: ['Seromas', 'seroma'] @entity4098 :: ('MESH:D010144', 'Disease') :: ['areola'] @entity245 :: ('MESH:D002658', 'Disease') :: ['delayed healing'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications', 'Postoperative complications'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection', 'deep infection'] @entity6783 :: ('MESH:D013529', 'Disease') :: ['dehiscence'] @entity21879 :: ('MESH:C536821', 'Disease') :: ['macromastia']
@entity28 :: (MESH:D009765,Disease) :: ['Obesity']
