Werner C, Drähne A, Heinzen D, Berger M
Geburtshilfe Frauenheilkd. 1983 Sep;43(9):567-72. doi: 10.1055/s-2008-1036579.
164 patients in whom reduction mammoplasty according to Strömbeck had been performed, were followed up and questioned by means of a questionnaire as regards improvement of their preoperative complaints and their satisfaction with the success of the operation. 93% of the complaints were removed or at least alleviated. New complaints occurred in 16% of the women due to the visibility of the scars and scar pain. 51% of the women stated that the operation had been fully satisfactory, whereas 46% made some reservation and 3% were dissatisfied. The following complications were observed: 4 partial necroses of the mammillae, 2 haematomas, 2 wound infections, 2 fatty tissue necroses and 26 secondary sutures. The complications at the mammillae and the blood losses were found to correlate with the amount of resected weight. However, surgical experience was also an important factor, both as regards the complication rate and the cosmetic result, especially in cicatrisation and the shape and seat of the mammillae. On the whole, 69% of the results can be classified as "good", 30% as "satisfactory" and 1% as "poor".