Patient profile and results evaluation after breast reduction

ABSTRACT

Introduction:

In women, breast hypertrophy is a source of physical and emotional pain; several techniques have been described for its treatment.

Objective:

To demonstrate the appearance and satisfactory results obtained with reductive mammoplasty for the treatment of breast hypertrophy according to Bozola’s classification.

Method:

This descriptive and retrospective study included 94 patients who underwent reductive mammoplasty between January 2011 and October 2013. The patients were evaluated according to age, chief complaint, comorbidities, body mass index (BMI), history of pregnancy, presence of sagging skin, breast contour and consistency, tumors, and hypertrophy grade. The patients underwent reductive mammoplasty using the technique of Ariê and Peixoto with the type I pedicle of Ribeiro as well as Pitanguy’s method. During the postoperative period, patient satisfaction was evaluated according to the outcomes observed and regarding breast symmetry, size, complications, and nipple-areola complex (NAC) sensitivity.

Results:

The average patient age was 28.5 years and the average BMI was 27.66. The main complaint was discomfort and pain (73.4%). The average weight of resected tissue was 952.5 g. The occurrence of complications was observed in 27.6% of patients. For the evaluation, form, symmetry and NAC sensitivity were considered. The satisfaction rate was great in 51.1% of cases and good in 35.1%.

Conclusion:

The technique of Ariê and Peixoto as well as Pitanguy’s method provided long-term results with durable breast support and enabled the design of a medial upper pole with more pronounced contours.

Keywords:
Reductive mammoplasty; Breast hypertrophy; Complications; Satisfaction