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Reduction Mammaplasty Effect on Pulmonary Function and Arterial Blood Gas in the Overweight Female

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Abstract

Background

This study sought to prospectively determine whether reduction mammaplasty improves the results of pulmonary function tests (PFTs) and arterial blood gas (ABG) measurements among overweight or obese women with macromastia and assess whether these changes are correlated with participant weight and body mass index (BMI) changes.

Methods

Thirty women who were overweight or obese and underwent bilateral reduction mammaplasty were included in this study. PFT and ABG measurements were performed within a 4-week period before reduction mammaplasty and 3 months after reduction mammaplasty. The following selected PFT parameters were used to diagnose the restrictive patterns of ventilatory defects: forced vital capacity (FVC), forced expiratory volume at one second (FEV1), the ratio of FEV1 to FVC expressed as a percentage (FEV1/FVC%), and the average FVC flow rate of 25–75 % (FEF 25–75 %). The ABG measurements included PaO2, PaCO2, HCO3, oxygen saturation, and pH.

Results

A significant difference was found between certain preoperative and postoperative PFTs (i.e., predicted FVC%, predicted FEV1% and predicted FEF 25–75 %) and between all of the preoperative and postoperative ABG measurements (pH, PaO2, PaCO2, HCO3, and Sat O2). A significant positive correlation was found between specimen weight and improvements in FEF 25–75 % and Sat O2. A significant positive correlation was found between the percentage reduction in BMI and the improvements in FEF 25–75 % and FVC.

Conclusions

Overweight or obese women who underwent reduction mammaplasty showed significant improvements in certain PFT and all of the ABG measurements at 3 months after surgery. The more resected breast tissue predicts greater improvements in FEF 25–75 % and Sat O2, and greater reductions in BMI predicted increased improvements in FEF 25–75 % and FVC.

Level of Evidence IV

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Acknowledgments

None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this article.

Conflict of interest

There is no conflict of interest related to any commercial associations or financial relationships, including consultancy, stock ownership, equity interest, patent licensing arrangements, or payments for conducting or publicizing the study discussed in this article.

Ethical standard

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Authors and Affiliations

  1. Department of Plastic, Reconstructive and Aesthetic Surgery, Namik Kemal University Faculty of Medicine, 59100, Tekirdag, Turkey

    Mehmet Ceber

  2. Department of Anaesthesiology, Namik Kemal University Faculty of Medicine, Tekirdag, Turkey

    Adnan Yuksek

  3. Department of Pulmonary Disease, Namik Kemal University Faculty of Medicine, Tekirdag, Turkey

    Levent Cem Mutlu

  4. Department of General Surgery, Namik Kemal University Faculty of Medicine, Tekirdag, Turkey

    Ilhan Bali

  5. Department of Biostatistics, Namik Kemal University Faculty of Medicine, Tekirdag, Turkey

    Birol Topcu

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  1. Mehmet Ceber
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  2. Adnan Yuksek
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  3. Levent Cem Mutlu
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Correspondence to Mehmet Ceber.

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Ceber, M., Yuksek, A., Mutlu, L.C. et al. Reduction Mammaplasty Effect on Pulmonary Function and Arterial Blood Gas in the Overweight Female. Aesth Plast Surg 39, 540–546 (2015). https://doi.org/10.1007/s00266-015-0522-8

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  • DOI: https://doi.org/10.1007/s00266-015-0522-8

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