Hinson Chandler S, Karne Sridhar, Rosser Brandon, Bouillon Victoria, Brooks Ronald M
From the Frederick P. Whiddon College of Medicine, University of South Alabama, Ala.
Plastic and Reconstructive Surgery Clinic, University of South Alabama Health, Mobile, Ala.
Plast Reconstr Surg Glob Open. 2024 Jun 19;12(6):e5920. doi: 10.1097/GOX.0000000000005920. eCollection 2024 Jun.
Macromastia, defined as the abnormal enlargement of breasts, burdens individuals physically and psychologically, impacting their daily lives beyond aesthetics. Reduction mammoplasty offers relief by restoring proportional breast volume and appropriate contour. Surgical success relies on choosing a suitable individualized operative technique tailored to the patient's presentation and postoperative goals. This study examines postoperative, patient-reported outcomes across different reduction techniques to gauge the impact of reduction technique on overall patient perspective of aesthetic and functional satisfaction.
A retrospective review identified reduction mammoplasty patients by a single surgeon between 2018 and 2022. Exclusion criteria included augmentation-related or cancer reconstructive procedures. Phone interviews were conducted using a survey adapted from BREAST-Q to assess postoperative outcomes in patients. Data analysis included Pearson chi-square test in STATA 16.1.
Among 155 patients identified, 64 completed the survey. Average postsurgical interval was 24 months postoperative. After stratifying patients by operative technique, there was no significant difference in postoperative satisfaction among the cohorts with regard to nipple and breast appearance, sensation, symmetry, or shape.
This study highlights no significant disparity in perceived aesthetic or functional outcomes among different reduction mammoplasty techniques. Personalized considerations, such as patient factors, surgical expertise, and anatomical specifics, should guide technique selection, emphasizing individualized approaches over presumed superior methods for optimal results.
巨乳症定义为乳房异常增大，给患者带来身体和心理负担，不仅影响美观，还对其日常生活造成影响。乳房缩小成形术通过恢复乳房体积比例和塑造合适的外形来缓解症状。手术成功与否取决于根据患者的具体情况和术后目标选择合适的个体化手术技术。本研究调查了不同缩小技术术后患者报告的结果，以评估缩小技术对患者整体美学和功能满意度的影响。
一项回顾性研究确定了2018年至2022年间由单一外科医生实施乳房缩小成形术的患者。排除标准包括隆乳相关手术或癌症重建手术。使用从BREAST-Q改编而来的调查问卷进行电话访谈，以评估患者的术后结果。数据分析采用STATA 16.1中的Pearson卡方检验。
在确定的155例患者中，64例完成了调查。术后平均间隔时间为24个月。按手术技术对患者进行分层后，各队列在乳头和乳房外观、感觉、对称性或形状方面的术后满意度无显著差异。
本研究表明，不同乳房缩小成形术技术在美学或功能结果方面没有显著差异。个性化考虑因素，如患者因素、手术专业知识和解剖学细节，应指导技术选择，强调个体化方法优于假定的优越方法以获得最佳效果。
