Abstract: reduction weights which achieve both relief of symptoms and
excellent shape and size breasts remains a challenge and, in
addition, in the selection of patients with symptomatic
macromatia for being treated by reduction mammaplasty the
estimation of the amount of tissue to be removed plays an
important role because this criterion is required almost universally.
The objective of this study is to calculate a formula
for the preoperative prediction of the amount of breast tissue
which has to be removed in the treatment of symptomatic
macromastia based on data obtained from a series of patients
with symptomatic breast hypertrophy treated with reduction
mammaplasty characterized by the fact that successful outcome
(functional and cosmetic) had previously been achieved
and assessed objectively.
Methods A prospective study was performed on 39 patients
undergoing reduction mammaplasty for breast hypertrophy.
The Short Form (SF)-36 quality of life questionnaire (Spanish
version 1.4, June 1999) and the Breast Reduction Assessed
Severity Scale Questionnaire, which was double-blind translated,
were both answered preoperatively, a week before, and
postoperatively, 6 months after surgery, for testing the effectiveness
of the treatment. The patients were asked to score cosmetic results (1 to 10, very bad to excellent) and how
satisfied with the new breast size they were. Data were collected
from these patients to calculate a formula for preoperative
prediction of breast resection weight. Regression analysis
was performed separately on each of 78 breasts of these
patients with breast weight as dependent variable and sternal
notch-to-nipple distance (SNN), inframammary fold-to-nipple
distance (IMFN), age, body mass index (BMI) and ascent of
the nipple areola complex (ANAC) as independent variables.
Results A simple model combining two variables (IMFN,
ANAC) is strongly correlated with actual resection weight
with adjusted r2 coefficient of 0.701. The formula breast
weight (g)=(60(ANAC) (cm)+50(IMFN) (cm))-648 can
predict resection weight which obtains satisfactory cosmetic
results and a relief of symptoms improving quality of life.
Conclusions A new easy formula to estimate preoperatively
the amount of breast tissue to be removed is offered to surgeons
who are planning a breast reduction mammaplasty.
Level of evidence: level IV, risk/prognostic study
Otras publicaciones de la misma revista o congreso con autores/as de la Universidad de Cantabria
Autoría: Hernanz F., Muñoz P., Fidalgo M., Gómez-Fleitas M.,
Fuente: Eur J Plast Surg (2014) 37:373–380
Año de publicación: 2014
Nº de páginas: 8
Tipo de publicación: Artículo de Revista