Abstract
Purpose: We aimed to investigate the efficacy of breast reduction surgery in patients with symptomatic macromastia.
Materials and Methods: Forty patients with symptomatic macromastia operated between May 2009 - May 2010 were included. Breast volumes of patients were measured with Grossman-Roudner disc. Visual analog scale (VAS) test which range from 0 (no pain) to 10 (the worst pain imaginable) was used to grade shoulder pain, headache, backache, cervical pain and arm pain in the patients. Additional complaints were recorded to evaluate the effect of treatment on life quality. Twenty five patients were operated with inverse T incison inferior pedicle technique, 10 patients were operated with vertical incision technique, and 5 patients were operated with free areolar graft technique. VAS test was repeated for patients six months later. The last situation of additional complaints were recorded.
Results: The average age was 41.6 (24-60). The average body mass index was 33.1 (22.8-44.4). Right breast volume was 1667 (300- 3800), left breast volume was 1670 (800-3800). Preoperative average VAS was 6.18 (4-8). Postoperative average VAS was 1.9 (0-5). The difference between preoperative and postoperative pain was significant (p<0.001). Average postoperative follow-up period was 9.75 (6- 18) months. Average weight of resected specimen from right and left breast was 1112 (0-3000), 1110 (300-2900) respectively.
Conclusion: Breast reduction surgery results in reduction of pain and improvement in the quality of life and is an effective treatment method for patients with symptomatic macromastia.
Keywords:
Macromastia, breast reduction, mammoplasty
References
1Kayar R, Çatal H. Büyük Meme (Makromasti) ler ve Meme Kanseri. İzmir Tepecik Hast Derg 2007;17;121-130.
2Setela L, Papp A, Joukainen S, et al. Obesity and complications in breast reduction surgery: are restrictions justified? J Plast Reconstr Aesth Surg 2009;62;195-199.
3Kerrigan C, Collins D, Striplin D, et al. The health burden of breast hypertrophy. Plast Reconstr Surg 2001;108:1591-1599.
4Shakespeare V, Postle K. A qualitative study of patients´ views on the effects of breast-reduction surgery: a 2-year followup survey. Br J Plast Surg 1999;52:198-204.
5Brown AP, Hill C, Khan K. Outcome of reduction mammaplasty-a patients' perspective. Br J Plast Surg 2000;53:584-587.
6Scott G, Carson C, Borah G. Maximizing outcomes in breast reduction surgery: a review of 518 consecutive patients. Plast Reconstr Surg 2005;116:1633-1641.
7Kayar R: Saglıklı Kadında Makromasti Sıklığı. X. Ulusal Meme Hastalıkları Kongresi Bildiri Kitabı 30 Eylül-4 Ekim 2009.
8Collins E, Kerrigan C, Kim M, et al. The effectiveness of surgical and non surgical interventions in relieving the symptoms of macromastia. Plast Reconstr Surg 2002;109:1556-1566.
9Iwuagwu OC, Stanley PW, Platt AJ, Drew PJ, Walker LG. Effects of bilateral breast reduction on anxiety and depression: Results of a prospective randomised trial. Scand J Plast Reconstr Surg Hand Surg 2006; 40: 19-23. [DOI:10.1080/02844310500415335]
10Gonzalez F, Walton RL, Shafer B, Matory WE Jr, Borah GL. Reduction mammaplasty improves symptoms of macromastia. Plast Reconstr Surg 1993;91:1270-6.
11Ducic I, Iorio ML, Al-Attar A. Chronic headaches/migraines: extending indications for breast reduction. Plast Reconstr Surg 2010;125:44-9.
12Sood R, Mount DL, Coleman JJ 3rd, Ranieri J, Sauter S, Mathur P, Thurston B. Effects of reduction mammaplasty on pulmonary function and symptoms of macromastia. Plast Reconstr Surg 2003;111:688-694.
13Smith ML, Evans GR, Gürlek A, Bouvet M, Singletary SE, Ames FC, Janjan N, McNeese MD. Reduction mammaplasty: its role in breast conservation surgery for early-stage breast cancer. Ann Plast Surg 1998;41:234-239.
14Stolier A, Allen R, Linares L. Breast conservation therapy with concomitant breast reduction in large-breasted women. Breast J 2003;9:269-271.
15Goffman TE, Schneider H, Hay K, Elkins DE, Schnarrs RA, Carman C. Cosmesis with bilateral mammoreduction for conservative breast cancer treatment. Breast J 2005;11:195-198.
16Hermans BJ, Boeckx WD, De Lorenzi F, van der Hulst RR. Quality of life after breast reduction. Ann Plast Surg 2005;55:227-31.
