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Effects of Reduction Mammoplasty on Metabolic Profile and Body Weight

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Abstract

Background

Advanced studies on adipose tissue have established that subcutaneous adipose tissue acts as an endocrine organ to help maintain homeostasis. Based on this information, many plastic surgeons have evaluated the metabolic effects of liposuction because liposuction is the most common surgical procedure in plastic surgery. Liposuction removes a substantial amount of subcutaneous fat from a specific area of the body. Mammoplasty is another procedure that removes a large amount of subcutaneous fat. In this study, the metabolic effects of reduction mammoplasty were evaluated with hemogram, blood glucose, lipid profile, insulin, and insulin resistance tests before and after surgery.

Methods

The study involved 35 patients who underwent reduction mammoplasty between January 2006 and June 2009. All the patients were evaluated with physical examination and their history, height, and weight were obtained. Venous blood samples were collected before, 4 h after, and 3 months after the surgical procedure to evaluate hemogram, blood glucose, insulin, and lipid profiles. The HOMA scores of the patients were calculated. Inferiorly based dermal pedicle, central pedicle, and free nipple graft techniques were used in the operations and all excision materials were sent for histopathological examination.

Results

The mean age of the patients was 39.6 ± 11.6 years. The mean excision volume was 2249 ± 1001 g. Body mass indexes were not significantly different before and 3 months after the surgery (p > 0.05). Blood glucose, LDL, HDL, triglyceride, total cholesterol, hemoglobin, and hematocrit values before and 4 h after the surgery were also different (p < 0.05). However, comparisons with the 3-month postoperative test results revealed no statistically significant differences (p > 0.05) and comparisons of all the measurements showed that insulin levels and HOMA scores were not significantly different (p > 0.05).

Conclusion

The results of the present study showed that reduction mammoplasty operations do not have any positive effects on blood insulin, glucose profile, lipid profile, and body mass index 3 months after the surgery.

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Conflict of interest

The authors declare that they have no conflicts of interest to disclose.

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Authors and Affiliations

  1. Plastic Reconstructive and Aesthetic Surgery Department, Bitlis State Hospital, Beş Minare Mahallesi, Bitlis, Turkey

    Murat Sarıcı

  2. Plastic Reconstructive and Aesthetic Surgery Department, Ankara Atatürk Research and Education Hospital, Bilkent, Ankara, Turkey

    M. Erol Demirseren

  3. Plastic Reconstructive and Aesthetic Surgery Department, Ankara Dıskapı Yıldırım Beyazıt Research and Education Hospital, Ankara, Turkey

    Mustafa Durgun

  4. Plastic Reconstructive and Aesthetic Surgery Department, Ankara Kecioren Research and Education Hospital, Ankara, Turkey

    Candemir Ceran

  5. Plastic Reconstructive and Aesthetic Surgery Department, Mustafa Kemal University, Hatay, Turkey

    M. Oguz Yenidunya

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  1. Murat Sarıcı
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  2. M. Erol Demirseren
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  3. Mustafa Durgun
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  4. Candemir Ceran
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  5. M. Oguz Yenidunya
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Correspondence to Murat Sarıcı.

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Sarıcı, M., Erol Demirseren, M., Durgun, M. et al. Effects of Reduction Mammoplasty on Metabolic Profile and Body Weight. Aesth Plast Surg 35, 995–999 (2011). https://doi.org/10.1007/s00266-011-9719-7

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  • DOI: https://doi.org/10.1007/s00266-011-9719-7

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