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BREAST The Vertical Reduction Mammaplasty: A Prospective Analysis of Patient Outcomes Jason A. Spector, M.D. Background: In the United States, breast reductions based upon a Wise pattern Rebecca Kleinerman, A.B. incision remain common. However, dissatisfaction with this procedure, on the Alfred T. Culliford IV, M.D. part of the patient and the surgeon alike because of unsightly scars and long- Nolan S. Karp, M.D. term “bottoming out” of the breast, has promoted the search for alternative New York, N.Y. methods of breast reduction. The purpose of this study was to analyze patient outcomes after vertical reduction mammaplasty utilizing prospectively collected data. Methods: All patients were given a custom-designed questionnaire designed to evaluate their macromastia-related symptoms and other macromastia-related quality-of-life issues. Patients were then provided the same questionnaire at their final postoperative visit between 3 and 6 months after surgery. Results: A total of 63 patients underwent vertical reduction mammaplasty and 40 patients underwent Wise pattern inferior pedicle reduction mam- maplasty. Vertical reduction mammaplasty resulted in significant decreases in all macromastia-related symptoms analyzed, including upper back pain, lower back pain, neck pain, arm pain, shoulder pain, hand pain, breast pain, headaches, rashes and/or itching, and painful brassiere strap grooving (all, p
Plastic & Reconstructive Surgery – Wolters Kluwer Health
Published: Feb 1, 2006
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