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Preoperative Evaluation of the Breast Reduction Patient

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Vertical Scar Mammaplasty

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Abstract

Breast reduction can be one of the most gratifying breast procedures performed by a plastic surgeon. Not only can the physical symptoms related to the size of the breast be alleviated, but also the physical appearance of the breast is greatly improved as a result of the procedure. However, to perform this procedure safely, a proper preoperative evaluation must be performed in order to maximize the quality of the aesthetic result while minimizing the risk for complications. This chapter will outline the basic considerations that should be taken into account for the patient who presents for breast reduction.

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References

  1. Fischer JP, Cleveland EC, Shang EK, Nelson JA, Serletti JM. Complications following reduction mammaplasty: a review of 3538 cases from the 2005–2010 Nsqip data sets. Aesthet Surg J. 2014;34:66–73.

    Article  Google Scholar 

  2. Henry SL, Crawford JL, Puckett CL. Risk factors and complications in reduction mammaplasty: novel associations and preoperative assessment. Plast Reconstr Surg. 2009;124:1040–6.

    Article  CAS  Google Scholar 

  3. Nelson JA, Fischer JP, Chung CU, West A, Tuggle CT, Serletti JM, Kovach SJ. Obesity and early complications following reduction mammaplasty: an analysis of 4545 patients from the 2005–2011 Nsqip datasets. J Plast Surg Hand Surg. 2014;48:334–9.

    Article  Google Scholar 

  4. Roehl K, Craig ES, Gomez V, Phillips LG. Breast reduction: safe in the morbidly obese? Plast Reconstr Surg. 2008;122:370–8.

    Article  CAS  Google Scholar 

  5. Setala L, Papp A, Joukainen S, Martikainen R, Berg L, Mustonen P, Harma M. Obesity and complications in breast reduction surgery: are restrictions justified? J Plast Reconstr Aesthet Surg. 2009;62:195–9.

    Article  CAS  Google Scholar 

  6. Bartsch RH, Weiss G, Kastenbauer T, Patocka K, Deutinger M, Krapohl BD, Benditte-Klepetko HC. Crucial aspects of smoking in wound healing after breast reduction surgery. J Plast Reconstr Aesthet Surg. 2007;60:1045–9.

    Article  Google Scholar 

  7. Bikhchandani J, Varma SK, Henderson HP. Is it justified to refuse breast reduction to smokers? J Plast Reconstr Aesthet Surg. 2007;60:1050–4.

    Article  CAS  Google Scholar 

  8. Chan LK, Withey S, Butler PE. Smoking and wound healing problems in reduction mammaplasty: is the introduction of urine nicotine testing justified? Ann Plast Surg. 2006;56:111–5.

    Article  CAS  Google Scholar 

  9. Wolfswinkel EM, Lemaine V, Weathers WM, Chike-Obi CJ, Xue AS, Heller L. Hyperplastic breast anomalies in the female adolescent breast. Semin Plast Surg. 2013;27:49–55.

    Article  Google Scholar 

  10. American Cancer Society, American Cancer Society Breast Ancer Screening Guideline 2015, American Cancer Society (2015) http://www.cancer.org/healthy/informationforhealthcareprofessionals/acsguidelines/breastcancerscreeningguidelines/index.

  11. Brzozowski D, Niessen M, Evans HB, Hurst LN. Breast-feeding after inferior pedicle reduction mammaplasty. Plast Reconstr Surg. 2000;105:530–4.

    Article  CAS  Google Scholar 

  12. Cruz-Korchin N, Korchin L, Gonzalez-Keelan C, Climent C, Morales I. Macromastia: how much of it is fat? Plast Reconstr Surg. 2002;109:64–8.

    Article  Google Scholar 

  13. Chadbourne EB, Zhang S, Gordon MJ, Ro EY, Ross SD, Schnur PL, Schneider-Redden PR. Clinical outcomes in reduction mammaplasty: a systematic review and meta-analysis of published studies. Mayo Clin Proc. 2001;76:503–10.

    Article  CAS  Google Scholar 

  14. Ship AG. Virginal and gravid mammary gigantism—recurrence after reduction mammaplasty. Br J Plast Surg. 1971;24:396–401.

    Article  CAS  Google Scholar 

  15. Blomqvist L, Eriksson A, Brandberg Y. Reduction mammaplasty provides long-term improvement in health status and quality of life. Plast Reconstr Surg. 2000;106:991–7.

    Article  CAS  Google Scholar 

  16. Cerrato F, Webb ML, Rosen H, Nuzzi L, McCarty ER, DiVasta AD, Greene AK, Labow BI. The impact of macromastia on adolescents: a cross-sectional study. Pediatrics. 2012;130:e339–46.

    Article  Google Scholar 

  17. Lee MC, Lehman JA Jr, Tantri MD, Parker MG, Wagner DS. Bilateral reduction mammoplasty in an adolescent population: adolescent bilateral reduction mammoplasty. J Craniofac Surg. 2003;14:691–5.

    Article  Google Scholar 

  18. Miller BJ, Morris SF, Sigurdson LL, Bendor-Samuel RL, Brennan M, Davis G, Paletz JL. Prospective study of outcomes after reduction mammaplasty. Plast Reconstr Surg. 2005;115:1025–31. discussion 32–3

    Article  CAS  Google Scholar 

  19. Xue AS, Wolfswinkel EM, Weathers WM, Chike-Obi C, Heller L. Breast reduction in adolescents: indication, timing, and a review of the literature. J Pediatr Adolesc Gynecol. 2013;26:228–33.

    Article  Google Scholar 

  20. Atisha DM, Alderman AK, Kuhn LE, Wilkins EG. The impact of obesity on patient satisfaction with breast reconstruction. Plast Reconstr Surg. 2008;121:1893–9.

    Article  CAS  Google Scholar 

  21. Wagner DS, Alfonso DR. The influence of obesity and volume of resection on success in reduction mammaplasty: an outcomes study. Plast Reconstr Surg. 2005;115:1034–8.

    Article  CAS  Google Scholar 

  22. Ceber M, Yuksek A, Mutlu LC, Bali I, Topcu B. Reduction mammaplasty effect on pulmonary function and arterial blood gas in the overweight female. Aesthet Plast Surg. 2015;39:540–6.

    Article  Google Scholar 

  23. Cunha MS, Santos LL, Viana AA, Bandeira NG, Filho JA, Meneses JV. Evaluation of pulmonary function in patients submitted to reduction mammaplasty. Rev Col Bras Cir. 2011;38:11–4.

    Article  Google Scholar 

  24. Kececi Y, Dagistan S. Effects of breast reduction on pulmonary function. Int Surg. 2014;99:300–4.

    Article  Google Scholar 

  25. Godwin Y, Valassiadou K, Lewis S, Denley H. Investigation into the possible cause of subjective decreased sensory perception in the nipple-areola complex of women with macromastia. Plast Reconstr Surg. 2004;113:1598–606.

    Article  Google Scholar 

  26. Schnur PL, Hoehn JG, Ilstrup DM, Cahoy MJ, Chu CP. Reduction mammaplasty: cosmetic or reconstructive procedure? Ann Plast Surg. 1991;27:232–7.

    Article  CAS  Google Scholar 

  27. Boschert MT, Barone CM, Puckett CL. Outcome analysis of reduction mammaplasty. Plast Reconstr Surg. 1996;98:451–4.

    Article  CAS  Google Scholar 

  28. Cunningham BL, Gear AJ, Kerrigan CL, Collins ED. Analysis of breast reduction complications derived from the bravo study. Plast Reconstr Surg. 2005;115:1597–604.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Partners in Plastic Surgery of West Michigan, Center of Breast and Body Contouring, 4070 Lake Drive SE #202, Grand Rapids, MI, 49546, USA

    Dennis C. Hammond & Kuylhee Kim

Authors
  1. Dennis C. Hammond
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  2. Kuylhee Kim
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Correspondence to Dennis C. Hammond .

Editor information

Editors and Affiliations

  1. Professor and Chairman, Department of Plastic and Reconstructive Surgery, Brussels University Hospital – Vrij Universiteit Brussel (VUB), Brussels, Belgium

    Moustapha Hamdi

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Hammond, D.C., Kim, K. (2018). Preoperative Evaluation of the Breast Reduction Patient. In: Hamdi, M. (eds) Vertical Scar Mammaplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-55451-7_3

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  • DOI: https://doi.org/10.1007/978-3-662-55451-7_3

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-55449-4

  • Online ISBN: 978-3-662-55451-7

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