Long-term Results and Patient Satisfaction with Reduction Mammaplasty

Unilateral Vertical Scar Breast Reduction with Glandular Transposition of the Nipple-Areola in Breast Asymmetry

“…It is this scarring caused by the inverted-T procedure that is one of the main causes of postoperative patient dissatisfaction. 18 Most of our patients were young women (mean age, 28 years; range, 16 to 57 years) and were younger than those who undergo standard inverted-T bilateral breast reductions. 18 In these young patients, the ideal technique should be one that provides the best breast shape and symmetry without interfering with lactation and nipple sensation; it should leave minimal residual scarring; and it should ensure long-lasting symmetry by creating a breast that will be subject to the usual modifications of shape with aging, gravitational descent, and weight changes.…”

“…18 Most of our patients were young women (mean age, 28 years; range, 16 to 57 years) and were younger than those who undergo standard inverted-T bilateral breast reductions. 18 In these young patients, the ideal technique should be one that provides the best breast shape and symmetry without interfering with lactation and nipple sensation; it should leave minimal residual scarring; and it should ensure long-lasting symmetry by creating a breast that will be subject to the usual modifications of shape with aging, gravitational descent, and weight changes. 14 We think it is better to avoid implants whenever we have a choice, as it is our experience that those with implants have more frequent follow-up consultations and are subject to more postoperative procedures than Postoperative frontal and oblique views after a 415-g reduction of the right breast.…”

Psychosexual Function in Women Who Have Undergone Reduction Mammaplasty

“…5,16,17 However, there was no correlation between satisfaction or dissatisfaction with scarring and operative or sexual satisfaction (p Ͻ 0.01), and there was no statistical difference between the proportion of patients discontented with scarring in satisfied and dissatisfied groups (p Ͼ 0.01). In contrast, breast shape, symmetry, and sensation were all significantly associated with both operative and sexual satisfaction (p Ͻ 0.001).…”

Unfavourable results following reduction mammoplasty

“…Probably, the highest reported percentage (in large series) of women dissatisfied with the surgery is 18.4. [29] Appearance of scars and asymmetry can be causes for complaints. [30] Plastic surgeons must not forget that despite the high percentage of complications, most patients accept and recommend the procedure.…”