Does Reduction Mammaplasty Revert Skeletal Disturbances in the Vertebral Column of Patients With Macromastia? A Preliminary Study

Karabekmez, Furkan Erol; Gökkaya, Ali; Işık, Cengiz; Sağlam, İbrahim; Efeoğlu, Fatih Burak; Görğü, Metin

doi:10.1007/s00266-013-0194-1

Cited by 20 publications

(23 citation statements)

References 40 publications

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“…Although the size of this flexion torque is yet to be reported, 4 vertebral column radiographs of women with large breasts (D+ cup bra size) have revealed significantly greater thoracic kyphosis compared to women with small breasts (A cup bra size) 3 . Thoracic kyphosis has also been found to be significantly reduced post-breast reduction surgery 8,11,12 , although other researchers found no relationship between thoracic kyphosis and breast size in post-menopausal women (mean age 69 years) 5 . Unfortunately, the researchers in this study did not screen for osteoporosis, which might have masked the effects of breast size on thoracic kyphosis.…”

Section: Introductionmentioning

confidence: 99%

Upper torso pain and musculoskeletal structure and function in women with and without large breasts: A cross sectional study

McGhee

Coltman

Riddiford‐Harland

et al. 2018

Clinical Biomechanics

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Section: Introductionmentioning

confidence: 99%

Upper torso pain and musculoskeletal structure and function in women with and without large breasts: A cross sectional study

McGhee

Coltman

Riddiford‐Harland

et al. 2018

Clinical Biomechanics

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“…The subacromial gap has been shown to narrow significantly with increased thoracic kyphosis. 13 Narrowing of the subacromial gap restricts the movement of the scapula and changes its planar position. Thus, large breasts can potentially lead to repetitive microtraumas, hence to the reactive hyperproliferation of fibroelastic tissue of recurrent microtraumas in this region.…”

Section: Discussionmentioning

confidence: 99%

Possible Relationship Between Bilateral Elastofibroma Dorsi and Hypermastia

et al. 2017

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Elastofibroma dorsi (EFD) is a rare, benign, soft tissue tumor with an unclear pathogenesis, typically localized to the subscapular region. It occurs within the periscapular area between the ribs and dorsal chest wall muscles. Repetitive microtrauma by friction between the lower part of the scapula and the thoracic wall may cause reactive hyperproliferation of the fibroblastic tissue. This view has been supported by the higher prevalence of EFD, particularly among individuals who perform hard manual labor. EFD can, however, also be observed in those who have never performed hard manual labor and particularly in women over the age of 50. In this report, we present a case of bilateral EFD in a 52-year old woman with bilateral hypermastia, and examine the possible correlation between hypermastia and EFD.

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“…Moreover, studies show that breast hypertrophy is associated with significant negative impacts on a woman's health status and quality of life [2]. The mainstay of treatment for breast hypertrophy is breast reduction, which is one of the commonest procedures performed in plastic surgery [3]. In reduction mammaplasty, one removes breast tissue (skin, adipose, glandular) and transposes the nipple-areolar complex for the purposes of smaller, symmetrical, and cosmetically appealing breasts.…”

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confidence: 99%

Patient-Reported Measurement of Breast Asymmetry Using Archimedes’ Principle in Breast Reduction Mammaplasty: A Retrospective Study

Waltho

McRae

Thoma

2020

Cureus

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Breast hypertrophy is a common condition that is often treated with breast reduction surgery. A large percentage of breast hypertrophy patients have notable asymmetry between breasts. Methods The purpose of this study was to investigate a method of measuring breast asymmetry, one that allows patients to determine the asymmetry of their own breasts at home with ease, and to assess its accuracy and role in a surgical practice. A retrospective chart review was conducted, wherein self-measurements of breast asymmetry using a variation of Bouman's technique were compared with the recorded intra-operative resected tissue mass. Results In total, 47 patients with asymmetry were included in the study. The difference between patient-reported measurements and resected breast tissue mass varied from 0 grams to 240 grams. Of the 47 patients, 38% were able to measure their breast difference within a remarkable 10 grams as compared to the resected breast tissue, of which four patients were accurate to less than one gram. The majority (70%) of patients accurately measured their asymmetry within 50 grams, which was determined to be a clinically significant amount based on a survey of plastic surgeons performed for the study. Conclusion The breast measurement technique presented in this study appears to be effective and accurate for most patients with suspected asymmetry undergoing reduction mammaplasty that stands to reduce pre-operative planning time. Patient-reported breast measurement may emerge as a valuable tool in clinical and research pursuits; however, further research on this topic is indicated at this time.

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Does Reduction Mammaplasty Revert Skeletal Disturbances in the Vertebral Column of Patients With Macromastia? A Preliminary Study

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 20 publications

References 40 publications

Upper torso pain and musculoskeletal structure and function in women with and without large breasts: A cross sectional study

Upper torso pain and musculoskeletal structure and function in women with and without large breasts: A cross sectional study

Possible Relationship Between Bilateral Elastofibroma Dorsi and Hypermastia

Patient-Reported Measurement of Breast Asymmetry Using Archimedes’ Principle in Breast Reduction Mammaplasty: A Retrospective Study

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