Aesthet Surg J. 2023 Jun 14;43(7):NP484-NP491. doi: 10.1093/asj/sjad023.
Reduction mammaplasty is an effective and safe treatment option for adults with symptomatic macromastia, but there are few data regarding outcomes in adolescents.
The purpose of this study was to determine the short-term psychosocial impact, satisfaction, and safety of reduction mammaplasty when performed during adolescence.
A retrospective review was performed of a single pediatric plastic surgeon's experience with reduction mammaplasty from 2018 to 2021 in patients aged ≤18 years. Patients completed the preoperative and postoperative "Satisfaction with Breasts" and "Psychosocial Well-being" sections of the BREAST-Q survey. Clinical variables gathered included age, weight, BMI, complication profile, specimen resection weight, and follow-up duration.
In total, 41 patients met inclusion criteria. The mean converted Rasch scores for BREAST-Q "Satisfaction with Breasts" and "Psychosocial Well-being" increased significantly following reduction mammaplasty ("Satisfaction with Breasts": preoperative, 24.1 vs postoperative, 92.6; "Psychosocial Well-being": preoperative, 37.7 vs postoperative, 90.4; P < .001). Obesity (BMI ≥ 30 kg/m2) was associated with lower preoperative "Psychosocial Well-being" scores (obese, 29.7 vs nonobese, 43.3; P < .001) but a greater improvement in score following surgery (obese, +63.9 vs nonobese, +44.9; P < .001). Specimen weight ≥1000 grams was also associated with greater improvement in score on the "Psychosocial Well-being" section (≥1000 grams, +58 vs <1000 grams, +49.7; P = .046). Overall complication rate was 31.7% while the major complication rate was 2.4%. Mean specimen resection weight was higher in patients who experienced complications (1141.3 grams vs 836.8 grams, P = .008).
Reduction mammaplasty during adolescence predictably improves both short-term satisfaction with breasts and psychosocial well-being while demonstrating a favorable short-term complication profile.
缩乳术是治疗有症状巨乳症的成人的有效且安全的治疗选择，但针对青少年患者的结果数据较少。
本研究旨在确定在青少年时期进行缩乳术的短期心理社会影响、满意度和安全性。
对一位小儿整形外科医生在 2018 年至 2021 年期间对≤18 岁患者进行的缩乳术经验进行回顾性分析。患者完成了术前和术后 BREAST-Q 调查的“乳房满意度”和“心理社会幸福感”部分。收集的临床变量包括年龄、体重、BMI、并发症情况、标本切除重量和随访时间。
共有 41 例患者符合纳入标准。缩乳术后 BREAST-Q“乳房满意度”和“心理社会幸福感”的平均转换 Rasch 评分显著提高（“乳房满意度”：术前 24.1 分，术后 92.6 分；“心理社会幸福感”：术前 37.7 分，术后 90.4 分；P<0.001）。肥胖（BMI≥30kg/m2）与术前“心理社会幸福感”评分较低相关（肥胖者为 29.7 分，非肥胖者为 43.3 分；P<0.001），但术后评分改善更大（肥胖者为+63.9 分，非肥胖者为+44.9 分；P<0.001）。标本重量≥1000 克也与“心理社会幸福感”评分的更大改善相关（≥1000 克，+58 分；<1000 克，+49.7 分；P=0.046）。总体并发症发生率为 31.7%，主要并发症发生率为 2.4%。发生并发症的患者标本切除重量较高（1141.3 克比 836.8 克，P=0.008）。
青少年时期的缩乳术可预测性地提高乳房满意度和心理社会幸福感，同时显示出良好的短期并发症情况。
