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BREAST Reduction Mammaplasty: A Significant Improvement at Any Size Jason A. Spector, M.D. Background: Reduction mammaplasty has been shown to be efficacious in Nolan S. Karp, M.D. reducing the burden of symptoms and improving the quality of life for patients New York, N.Y. with macromastia. However, most insurance carriers will not reimburse for mammaplasties involving less than 1000 g of total tissue resected. To refute this arbitrary policy, the authors set out to examine the effect of reduction mam- maplasty in which less than 1000 g of breast tissue was resected on patients’ macromastia-related symptoms and macromastia-related quality-of-life factors. Methods: All patients were given a custom-designed questionnaire designed to evaluate 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 12 months after surgery. Results: A total of 59 patients underwent reduction mammaplasty of less than 1000 g. Reduction mammaplasty less than 1000 g resulted in significant de- creases 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 bra strap grooving (all p 0.00002). Furthermore, reduction mammaplasty
Plastic & Reconstructive Surgery – Wolters Kluwer Health
Published: Sep 1, 2007
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