Long-term Outcomes After Reduction Mammoplasty
Jennifer Bai, B.A., Colton H.L McNichols, M.D., Silviu C. Diaconu, M.D., Chinezimuzo Ihenatu, B.S., Sara AlFadil, M.D., Michael P. Grant, M.D., Ph.D., Arthur J. Nam, M.D., M.S., Sheri S. Slezak, M.D., Yvonne M. Rasko, M.D..
University of Maryland Medical Center, Baltimore, MD, USA.
PURPOSE: Reduction mammoplasty can provide wide-ranging benefits for patients including improved quality of life in terms of physical function and mental health. However, most existing studies have been limited in scope to the one-year postoperative period and thus are unable to measure the long-term impact of reduction mammoplasty. The aim of this study was to investigate long-term outcomes after reduction mammoplasty over time.
METHODS: A prospective study of patients who have undergone reduction mammoplasty at a single institution over an eighteen-year period was performed. Patients were grouped into three categories based on time since surgery: 5 years, 10 years, 15 or more years since surgery. Patients were contacted over the telephone and asked to participate in a voluntary survey about outcomes and satisfaction after reduction mammoplasty. Post-operative outcomes including satisfaction, symptom relief, exercise tolerance, and weight loss were compared among these groups.
RESULTS: A total of 124 patients completed the survey and were included in the study. Overall satisfaction after reduction mammoplasty was high in all three cohorts and did not significantly decrease over time (83% vs 79% vs 74%, p=0.216). Breast reduction provided marked improvement of symptoms including back pain, shoulder grooving, and posture in the majority of patients in all groups (75% vs 82% vs 82%, p=0.84). Although there was a significant increase in the proportion of patients that endorsed an increase in the size of their breasts since surgery (40% vs 70% vs 51%, p=0.0297), benefits of the surgery such as symptom relief and exercise tolerance were maintained.
CONCLUSION: Overall, reduction mammoplasty has long-lasting benefits for patients with breast hypertrophy and provides increased quality of life, patient satisfaction, and symptom relief that do not diminish over time.
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