Abstract
Background
With an increase in the incidence of childhood obesity and body awareness among adolescents, there has been a rise in the number of reduction mammaplasties being performed in this group of patients. Our study aims to review the indications, complications, and long-term outcomes of reduction mammaplasty in this subgroup of patients.
Methods
A retrospective review included female patients under 19 years old undergoing reduction mammaplasty. Data was obtained on patient demographics, mechanical and psychological symptoms and postoperative complications. A qualitative prospective questionnaire study was performed between 5 to 13 years following surgery. Responses were rated using the standardized Likert Scaling system to assess subjective benefits of the procedure.
Results
Thirty-six females had unilateral or bilateral reduction mammaplasty at a mean age of 17.40 years. Primary mechanical symptoms included back/neck pain, difficulty sleeping, and intertrigo. The principal psychological complaints were increased self-consciousness, low self-esteem, depression, and bullying. Sixty-seven percent agreed there was an immediate resolution of mechanical symptoms, and 47 % reported an improvement in psychological symptoms following surgery.
Conclusions
Reduction mammaplasty is especially beneficial in this group of patients as they suffer increased psychological comorbidities versus their adult counterparts. Patients need to be adequately assessed and counseled for optimal outcome.Level of Evidence: Level IV, therapeutic study.
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Ethical Standards
This study was approved by the local clinical effectiveness committee and has therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. The manuscript does not contain experimental studies involving humans or animals.
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This project was presented orally at the BAPRAS/ESPRAS International Meeting, Edinburgh, 7th–11th July 2014.
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Sharma, K.S., Lim, P., Baines, R. et al. Reduction mammaplasty in adolescents: a review of the indications, timing, and outcomes in a regional plastic surgery unit. Eur J Plast Surg 37, 661–666 (2014). https://doi.org/10.1007/s00238-014-1020-y
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DOI: https://doi.org/10.1007/s00238-014-1020-y