Long-Term Satisfaction of Reduction Mammaplasty for Bilateral Symptomatic Macromastia in Younger Patients

The Effect of Reduction Mammaplasty on Quality of Life in Adolescents With Macromastia

“…It is estimated that 80% of adults with macromastia developed symptoms during early adolescence. 27 We found that younger adolescents (<18 years) experienced the same postoperative improvements in physical wellbeing, vitality, psychosocial wellbeing, and breast-related pain and symptoms as their older peers after reduction mammaplasty. Traditional concerns regarding negatively altered self-esteem in younger patients after breast surgery were largely unfounded in our sample; in fact, younger patients demonstrated Treatment of adolescent macromastia should not be limited to reduction mammaplasty alone; those who treat the condition should apply multidisciplinary expertise to address obesity, eating behaviors, mental health, social functioning, and breastfeeding support, as required.…”

“…33 Despite the wellestablished association between macromastia and negative HRQoL, adolescents with macromastia remain relatively undertreated compared with their adult counterparts. 27 Elective breast surgery in the adolescent continues to be a source of controversy. 25 -29 Pediatricians and surgeons alike share a reluctance to seek surgical intervention for their young patients, citing concerns of age, psychological maturity, comorbidity with obesity, and effect on body image.…”

Quality of Life Following Symptomatic Macromastia Surgery: Short- and Long-term Evaluation

“…In most of cases the pain referred to eventually disappears after breast reduction surgery , even in patients with objective structural alterations of the spine, such as severe arthritis, scoliotic, or kyphotic deviations, an aspect which is sometimes inexplicable. The patients are warned before surgery that structural problems in the spine or articulations may not disappear after surgery, although in practice it should be explained that with surgery pain may be alleviated.…”

“…Patients’ age had no influence on the degree of satisfaction with surgery, as is the case in other published studies. In a retrospective study of patients under 21, who completed a questionnaire several years after surgery, it was revealed that 86% would recommend surgery and, that with the latest knowledge of the procedure, 95.9% would undergo surgery again. In a study with 241 patients , also using the inferior pedicle technique, the degree of satisfaction with the results was 96.6%.…”

Occurrence of Occult Malignancies in Reduction Mammoplasties

“…The most common indication for breast reduction is symptomatic macromastia with patients suffering from neck pain, back pain, inframammary intertrigo and shoulder grooving. Different studies have shown the efficacy of mammoplasty for the treatment of symptomatic macromastia ( 1 ) with good long time results regarding pain relief and quality of life ( 2 ). For this reason, RM for symptomatic macromastia mostly takes part of third party reimbursement by health insurances.…”