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Reduction Mammoplasty, Procedure
Dalliah M. Black, MD; Mark W. Clemens, MD
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KEY FACTS

  • Terminology

    • Preprocedure

      • Procedure

        • Post Procedure

          • Outcomes

            TERMINOLOGY

            • Synonyms

              • Reduction mammoplasty, breast reduction surgery
            • Definitions

              • Mammoplasty: Surgery to reduce breast volume and size
              • Mastopexy: Surgical lift to reduce breast ptosis but does not change breast mass or volume

            PREPROCEDURE

            • Indications

              • Preprocedure Imaging

                • Getting Started

                  PROCEDURE

                  • Procedure Steps

                    • Reduction Mammoplasty Techniques

                      POST PROCEDURE

                      • Expected Outcome

                        • Things to Do

                          • Postprocedure Care

                            OUTCOMES

                            • Problems

                              • Complications

                                Selected References

                                1. Acevedo F et al: Pathologic findings in reduction mammoplasty specimens: a surrogate for the population prevalence of breast cancer and high-risk lesions. Breast Cancer Res Treat. ePub, 2018
                                2. Cabral IV et al: Use of the BREAST-Q™ survey in the prospective evaluation of reduction mammaplasty outcomes. Aesthetic Plast Surg. 42(2):388-95, 2018
                                3. Dreifuss SE et al: A risk-stratified comparison of high-risk findings in reduction mammoplasty. Ann Plast Surg. 81(1):36-38, 2018
                                4. Fonseca CC et al: Breast hypertrophy, reduction mammaplasty, and body image. Aesthet Surg J. 38(9):972-79, 2018
                                5. Knox JA et al: Objective effects of breast reduction surgery on physical fitness. Ann Plast Surg. 80(1):14-17, 2018
                                6. Sears ED et al: Use of preoperative mammography during evaluation for nononcologic breast reduction surgery. JAMA Surg. ePub, 2018
                                7. Simpson AM et al: Predictors of complications following breast reduction surgery: a national surgical quality improvement program study of 16,812 cases. J Plast Reconstr Aesthet Surg. ePub, 2018
                                8. Kraut RY et al: The impact of breast reduction surgery on breastfeeding: Systematic review of observational studies. PLoS One. 12(10):e0186591, 2017
                                9. Carlson GW: The management of breast cancer detected by reduction mammaplasty. Clin Plast Surg. 43(2):341-7, 2016
                                10. Ortiz-Pomales YT et al: Reduction mammaplasty and breast cancer screening. Clin Plast Surg. 43(2):333-9, 2016
                                11. Kalliainen LK; ASPS Health Policy Committee: ASPS clinical practice guideline summary on reduction mammaplasty. Plast Reconstr Surg. 130(4):785-9, 2012
                                12. Roberts JM et al: Incidence of abnormal mammograms after reduction mammoplasty: implications for oncoplastic closure. Am J Surg. 201(5):611-4, 2011
                                13. Veiga-Filho J et al: The role of antibiotics in reduction mammaplasty. Ann Plast Surg. 65(2):144-6, 2010
                                14. Spear SL et al: Augmentation mastopexy. Clin Plast Surg. 36(1):105-15, vii; discussion 117, 2009
                                15. Davison SP et al: In Nahabedian M: Wise Pattern Breast Reduction, Cosmetic and Reconstructive Breast Surgery. Elsevier: London, 2008
                                16. Abramson DL et al: Improving long-term breast shape with the medial pedicle wise pattern breast reduction. Plast Reconstr Surg. 115(7):1937-43, 2005
                                17. Colwell AS et al: Occult breast carcinoma in reduction mammaplasty specimens: 14-year experience. Plast Reconstr Surg. 113(7):1984-8, 2004
                                18. Moskovitz MJ et al: Outcome study in liposuction breast reduction. Plast Reconstr Surg. 114(1):55-60; discussion 61, 2004
                                19. Poëll JG: Vertical reduction mammaplasty. Aesthetic Plast Surg. 28(2):59-69, 2004
                                20. Tarone RE et al: Breast reduction surgery and breast cancer risk: does reduction mammaplasty have a role in primary prevention strategies for women at high risk of breast cancer? Plast Reconstr Surg. 113(7):2104-10; discussion 2111-2, 2004
                                21. Lalonde DH et al: The no vertical scar breast reduction: a minor variation that allows to remove vertical scar portion of the inferior pedicle wise pattern T scar. Aesthetic Plast Surg. 27(5):335-44, 2003
                                22. Matarasso A: Suction mammaplasty: the use of suction lipectomy alone to reduce large breasts. Clin Plast Surg. 29(3):433-43, vii, 2002
                                23. Chadbourne EB et al: Clinical outcomes in reduction mammaplasty: a systematic review and meta-analysis of published studies. Mayo Clin Proc. 76(5):503-10, 2001
                                24. Netscher DT et al: Physical and psychosocial symptoms among 88 volunteer subjects compared with patients seeking plastic surgery procedures to the breast. Plast Reconstr Surg. 105(7):2366-73, 2000
                                25. Glatt BS et al: A retrospective study of changes in physical symptoms and body image after reduction mammaplasty. Plast Reconstr Surg. 103(1):76-82; discussion 83-5, 1999
                                26. Hidalgo DA et al: Current trends in breast reduction. Plast Reconstr Surg. 104(3):806-15; quiz 816; discussion 817-8, 1999
                                27. Spear SL: Surgery of the Breast: Principles and Art. Philadelphia: Lippincott-Raven. 673, 1998
                                28. Aston SJ et al: Grabb and Smith's Plastic Surgery. 5th ed. Philadelphia: Lippincott-Raven. 725, 1997
                                29. Burk RW 3rd et al: Conceptual considerations in breast reconstruction. Clin Plast Surg. 22(1):141-52, 1995
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Preprocedure

                                    • Procedure

                                      • Post Procedure

                                        • Outcomes

                                          TERMINOLOGY

                                          • Synonyms

                                            • Reduction mammoplasty, breast reduction surgery
                                          • Definitions

                                            • Mammoplasty: Surgery to reduce breast volume and size
                                            • Mastopexy: Surgical lift to reduce breast ptosis but does not change breast mass or volume

                                          PREPROCEDURE

                                          • Indications

                                            • Preprocedure Imaging

                                              • Getting Started

                                                PROCEDURE

                                                • Procedure Steps

                                                  • Reduction Mammoplasty Techniques

                                                    POST PROCEDURE

                                                    • Expected Outcome

                                                      • Things to Do

                                                        • Postprocedure Care

                                                          OUTCOMES

                                                          • Problems

                                                            • Complications

                                                              Selected References

                                                              1. Acevedo F et al: Pathologic findings in reduction mammoplasty specimens: a surrogate for the population prevalence of breast cancer and high-risk lesions. Breast Cancer Res Treat. ePub, 2018
                                                              2. Cabral IV et al: Use of the BREAST-Q™ survey in the prospective evaluation of reduction mammaplasty outcomes. Aesthetic Plast Surg. 42(2):388-95, 2018
                                                              3. Dreifuss SE et al: A risk-stratified comparison of high-risk findings in reduction mammoplasty. Ann Plast Surg. 81(1):36-38, 2018
                                                              4. Fonseca CC et al: Breast hypertrophy, reduction mammaplasty, and body image. Aesthet Surg J. 38(9):972-79, 2018
                                                              5. Knox JA et al: Objective effects of breast reduction surgery on physical fitness. Ann Plast Surg. 80(1):14-17, 2018
                                                              6. Sears ED et al: Use of preoperative mammography during evaluation for nononcologic breast reduction surgery. JAMA Surg. ePub, 2018
                                                              7. Simpson AM et al: Predictors of complications following breast reduction surgery: a national surgical quality improvement program study of 16,812 cases. J Plast Reconstr Aesthet Surg. ePub, 2018
                                                              8. Kraut RY et al: The impact of breast reduction surgery on breastfeeding: Systematic review of observational studies. PLoS One. 12(10):e0186591, 2017
                                                              9. Carlson GW: The management of breast cancer detected by reduction mammaplasty. Clin Plast Surg. 43(2):341-7, 2016
                                                              10. Ortiz-Pomales YT et al: Reduction mammaplasty and breast cancer screening. Clin Plast Surg. 43(2):333-9, 2016
                                                              11. Kalliainen LK; ASPS Health Policy Committee: ASPS clinical practice guideline summary on reduction mammaplasty. Plast Reconstr Surg. 130(4):785-9, 2012
                                                              12. Roberts JM et al: Incidence of abnormal mammograms after reduction mammoplasty: implications for oncoplastic closure. Am J Surg. 201(5):611-4, 2011
                                                              13. Veiga-Filho J et al: The role of antibiotics in reduction mammaplasty. Ann Plast Surg. 65(2):144-6, 2010
                                                              14. Spear SL et al: Augmentation mastopexy. Clin Plast Surg. 36(1):105-15, vii; discussion 117, 2009
                                                              15. Davison SP et al: In Nahabedian M: Wise Pattern Breast Reduction, Cosmetic and Reconstructive Breast Surgery. Elsevier: London, 2008
                                                              16. Abramson DL et al: Improving long-term breast shape with the medial pedicle wise pattern breast reduction. Plast Reconstr Surg. 115(7):1937-43, 2005
                                                              17. Colwell AS et al: Occult breast carcinoma in reduction mammaplasty specimens: 14-year experience. Plast Reconstr Surg. 113(7):1984-8, 2004
                                                              18. Moskovitz MJ et al: Outcome study in liposuction breast reduction. Plast Reconstr Surg. 114(1):55-60; discussion 61, 2004
                                                              19. Poëll JG: Vertical reduction mammaplasty. Aesthetic Plast Surg. 28(2):59-69, 2004
                                                              20. Tarone RE et al: Breast reduction surgery and breast cancer risk: does reduction mammaplasty have a role in primary prevention strategies for women at high risk of breast cancer? Plast Reconstr Surg. 113(7):2104-10; discussion 2111-2, 2004
                                                              21. Lalonde DH et al: The no vertical scar breast reduction: a minor variation that allows to remove vertical scar portion of the inferior pedicle wise pattern T scar. Aesthetic Plast Surg. 27(5):335-44, 2003
                                                              22. Matarasso A: Suction mammaplasty: the use of suction lipectomy alone to reduce large breasts. Clin Plast Surg. 29(3):433-43, vii, 2002
                                                              23. Chadbourne EB et al: Clinical outcomes in reduction mammaplasty: a systematic review and meta-analysis of published studies. Mayo Clin Proc. 76(5):503-10, 2001
                                                              24. Netscher DT et al: Physical and psychosocial symptoms among 88 volunteer subjects compared with patients seeking plastic surgery procedures to the breast. Plast Reconstr Surg. 105(7):2366-73, 2000
                                                              25. Glatt BS et al: A retrospective study of changes in physical symptoms and body image after reduction mammaplasty. Plast Reconstr Surg. 103(1):76-82; discussion 83-5, 1999
                                                              26. Hidalgo DA et al: Current trends in breast reduction. Plast Reconstr Surg. 104(3):806-15; quiz 816; discussion 817-8, 1999
                                                              27. Spear SL: Surgery of the Breast: Principles and Art. Philadelphia: Lippincott-Raven. 673, 1998
                                                              28. Aston SJ et al: Grabb and Smith's Plastic Surgery. 5th ed. Philadelphia: Lippincott-Raven. 725, 1997
                                                              29. Burk RW 3rd et al: Conceptual considerations in breast reconstruction. Clin Plast Surg. 22(1):141-52, 1995