TY - JOUR
T1 - Large-volume reduction mammaplasty
T2 - The effect of body mass index on postoperative complications
AU - Gamboa-Bobadilla, G. Mabel
AU - Killingsworth, Christopher
PY - 2007/3
Y1 - 2007/3
N2 - Eighty-six women underwent modified inferior pedicled reduction mammaplasty. All were grouped according to body mass index (BMI): 14 in the overweight group, 51 in the obese group, and 21 in the morbidly obese group. The mean ages were 34, 35, and 36, respectively, for the 3 groups and were not statistically different. The mean resection weight in the overweight group was 929 g, 1316 g for the obese group, and 1760 g for the morbidly obese group. Wound healing complications increased with BMI; the overweight, obese, and morbidly obese groups had 21%, 43%, and 71% of complications, respectively. The results were not statistically different. The rate of repeat operations increased proportionally with the BMI to 7%, 8%, and 19%, respectively. Postoperative BMI was measured in 30 patients. Fifty percent of this group had limited preoperative activity secondary to breast enlargement. The mean postoperative follow-up period was 43 months. Forty-seven percent of this group continued to have limited activity after breast reduction with a mean BMI of 37.8 kg/m. The mean BMI of all women was 37.41 kg/m with a total BMI change of -0.4 kg/m, suggesting that most women do not lose a significant amount of weight after breast reduction. There was no statistical difference in long-term BMI.
AB - Eighty-six women underwent modified inferior pedicled reduction mammaplasty. All were grouped according to body mass index (BMI): 14 in the overweight group, 51 in the obese group, and 21 in the morbidly obese group. The mean ages were 34, 35, and 36, respectively, for the 3 groups and were not statistically different. The mean resection weight in the overweight group was 929 g, 1316 g for the obese group, and 1760 g for the morbidly obese group. Wound healing complications increased with BMI; the overweight, obese, and morbidly obese groups had 21%, 43%, and 71% of complications, respectively. The results were not statistically different. The rate of repeat operations increased proportionally with the BMI to 7%, 8%, and 19%, respectively. Postoperative BMI was measured in 30 patients. Fifty percent of this group had limited preoperative activity secondary to breast enlargement. The mean postoperative follow-up period was 43 months. Forty-seven percent of this group continued to have limited activity after breast reduction with a mean BMI of 37.8 kg/m. The mean BMI of all women was 37.41 kg/m with a total BMI change of -0.4 kg/m, suggesting that most women do not lose a significant amount of weight after breast reduction. There was no statistical difference in long-term BMI.
KW - BMI
KW - Breast reduction
KW - Complications
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U2 - 10.1097/01.sap.0000248108.52837.6c
DO - 10.1097/01.sap.0000248108.52837.6c
M3 - Article
C2 - 17471126
AN - SCOPUS:34247575182
SN - 0148-7043
VL - 58
SP - 246
EP - 249
JO - Annals of plastic surgery
JF - Annals of plastic surgery
IS - 3
ER -