"Monitoring Postoperative Weight Changes Following Reduction Mammoplasty in Adolescents".

Autor:	Doyle WN Jr; University of South Florida Morsani College of Medicine, Tampa, Florida., Jacobs A; Lehigh Valley Health Network, Allentown, Pennsylvania, Department of Plastic & Reconstructive Surgery., Duka S; Lehigh Valley Health Network, Allentown, Pennsylvania, Network Office of Research and Innovation., Wojcik R Jr; University of South Florida Morsani College of Medicine, Tampa, Florida.; Lehigh Valley Health Network, Allentown, Pennsylvania, Department of Plastic & Reconstructive Surgery., Murphy RX Jr; University of South Florida Morsani College of Medicine, Tampa, Florida.; Lehigh Valley Health Network, Allentown, Pennsylvania, Department of Plastic & Reconstructive Surgery., Miles M; University of South Florida Morsani College of Medicine, Tampa, Florida.; Lehigh Valley Health Network, Allentown, Pennsylvania, Department of Plastic & Reconstructive Surgery.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery [Plast Reconstr Surg] 2024 Aug 12. Date of Electronic Publication: 2024 Aug 12.
DOI:	10.1097/PRS.0000000000011676
Abstrakt:	Background: Macromastia can limit women's ability to exercise. Reduction mammoplasty has been reported to subjectively improve exercise capability and stimulate weight loss. Considering the lack of published quantitative data, we sought to examine change in weight and body mass index (BMI) in adolescent women following reduction mammoplasty. Methods: Retrospective chart review was performed of patients under 21 years of age that underwent reduction mammoplasty at our institution from 2015 through 2019. Results: Fifty-six patients with follow-up weight measurements were included in analysis. Median follow-up time of our sample was 46.0 months. Only 22 (39.3%) experienced a decrease in BMI at final follow-up compared to baseline. Patients classified as healthy weight preoperatively (BMI 18.5-24.9kg/m) experienced a significant increase in BMI at 2-year, 3-year, 5-year, and final postoperative follow-up compared to baseline. Patients classified as overweight (25.0-29.99kg/m) or obese (≥30kg/m) did not experience significant BMI change at final postoperative follow-up. Conclusions: BMI and weight trended upwards postoperatively regardless of BMI classification. Reduction mammoplasty alone is not sufficient to stimulate weight loss. Healthy lifestyle changes should be encouraged to help prevent weight gain in adolescent women following reduction mammoplasty. Competing Interests: Financial Disclosure Statement: Dr. Robert X. Murphy Jr. has received royalties for textbook authorship from THIEME Publishing. No other authors listed have any conflicts of interest or financial disclosures. (Copyright © 2024 by the American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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