Breast Reduction: Safe in the Morbidly Obese?

• DOI: 10.1097/prs.0b013e31817d60f4
• Publication Date: 2009-03-05T20:19:22Z
• Authors: Kendall Roehl; E Stirling Craig; Victoria Gómez; Linda G. Phillips
• Keywords: Breast reduction; Morbidly obese

Background: With an increasing obese population, plastic surgeons are consulted by women requesting larger breast reductions, with body mass indices in the to morbidly range (30 ≥40 kg/m2) and breasts considered gigantomastic (>2000 g resected from each breast). There have been few descriptions of outcomes population. Previous literature reports high complication rates large-volume reductions. Methods: Retrospective investigation 179 reduction mammaplasty patients was performed out determine whether mass, age, index, smoking, method used (i.e., vertical pedicle, inferior pedicle/central mound, or free nipple graft), comorbidities influenced rates. The were categorized size reduction, index. Results: overall rate 50 percent. no statistical difference incidence complications attributable index (p = 0.37, p 0.13, 0.38, respectively). Also, smoking status, 0.65 0.17, 0.48 0.1, respectively) had effect on (reduction size, 0.054; 0.12; 0.072). significant increase for group based 0.75, 0.89, 0.23, 0.07). Conclusion: It is as safe perform reductions patient anyone else.