Nemov Valerie C, West William, Vasanthakumar Padma, Le Nicole K, Whalen Kristen, McKeon Bri Anne, Dayicioglu Deniz
Morsani College of Medicine, University of South Florida, 560 Channelside Dr, Tampa, FL, 33602, USA.
Department of Plastic Surgery, University of South Florida, 2 Tampa General Circle, 7th Floor, Tampa, FL, 33606, USA.
Aesthetic Plast Surg. 2025 Mar 27. doi: 10.1007/s00266-025-04791-2.
Breast reduction surgery is increasingly performed in reproductive age women, raising concerns for potential breastfeeding implications. We evaluated breastfeeding outcomes in patients that underwent reduction mammaplasty with one of three pedicle types and subsequently conceived and delivered at our institution. The primary objective was to determine the impact of reduction mammaplasty on breastfeeding success. The secondary objective was to explore other factors influencing breastfeeding success.
Twenty patients were included. Patients' charts were queried for demographics, comorbidities, pregnancy outcomes, and surgical details. The independent samples T test was utilized to analyze continuous variables. The Pearson's Chi-squared or Fisher's exact test was used for categorical variables.
Of the twenty patients who attempted breastfeeding after reduction mammaplasty in the study's timeframe, 11 (55%) were successful. Breastfeeding success was not significantly affected by the type of pedicle chosen for the procedure, the tissue excision weight, age at breast reduction, time between surgery and pregnancy, age at pregnancy, BMI, smoking status, chronic hypertension, pre-gestational diabetes, preterm delivery, delivery method, or neonatal birthweight. Delivering a small for gestational age infant significantly reduced the chance of breastfeeding success (p=0.05).
In our study, the ability to breastfeed was not significantly affected by a history of breast reduction surgery, regardless of pedicle type, tissue excision weight, or demographic factors. OBGYNs and plastic surgeons should engage in shared decision making with potential surgical patients and counsel them that while the literature is overall reassuring, there is a potential impact on breastfeeding ability given that milk-producing breast parenchyma will have been removed.
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乳房缩小手术在育龄女性中越来越常见，这引发了人们对其可能影响母乳喂养的担忧。我们评估了接受三种不同蒂型乳房缩小术并随后在我院受孕分娩的患者的母乳喂养结果。主要目的是确定乳房缩小术对母乳喂养成功的影响。次要目的是探讨影响母乳喂养成功的其他因素。
纳入20例患者。查询患者病历以获取人口统计学、合并症、妊娠结局和手术细节。采用独立样本t检验分析连续变量。分类变量采用Pearson卡方检验或Fisher精确检验。
在研究时间段内，20例接受乳房缩小术后尝试母乳喂养的患者中，11例（55%）成功。手术所选用的蒂型、组织切除重量、乳房缩小术时的年龄、手术与妊娠间隔时间、妊娠时年龄、体重指数、吸烟状况、慢性高血压、孕前糖尿病、早产、分娩方式或新生儿出生体重，均未对母乳喂养成功产生显著影响。分娩小于胎龄儿会显著降低母乳喂养成功的几率（p = 0.05）。
在我们的研究中，无论蒂型、组织切除重量或人口统计学因素如何，乳房缩小手术史对母乳喂养能力均无显著影响。妇产科医生和整形外科医生应与潜在手术患者共同进行决策，并告知她们，虽然总体文献令人安心，但鉴于产奶的乳腺组织已被切除，仍可能对母乳喂养能力产生影响。
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