A 12-year review of patient-reported outcomes after reduction mammoplasty in patients with high body mass index

Ledibabari M. Ngaage, Jennifer Bai, Selim Gebran, Adekunle Elegbede, Chinezimuzo Ihenatu, Arthur J. Nam, Sheri Slezak, Yvonne M. Rasko

Research output: Contribution to journalArticle

Abstract

Patients with increased body mass index (BMI) are often denied reduction mammoplasty due to concern for high morbidity. There is a paucity of evidence identifying high BMI as a predictor of poor long-term outcomes in reduction mammoplasty. In this study, we investigated the influence of BMI on long-term patient satisfaction following reduction mammoplasty.All patients undergoing reduction mammoplasty over a 12-year period at a single institution were included in the study. A retrospective chart review was conducted to extract demographics, operative data, and postoperative course including complications. Patients were classified into 4 categories based on BMI (normal (<25), overweight (25-29.9), obese (30-39.9), and morbidly obese (≥40)). Patient satisfaction was assessed using a customized survey which was administered over the phone. Only patients with complete medical records who participated in the survey were included.The 70 patients met the inclusion criteria for the study. Median time from surgery to survey was 6 years. Overall satisfaction after reduction mammoplasty was high, 5 on a 5-point Likert scale. The amount of breast tissue resected correlated with patient BMI (P <.01). There was no statistical difference in satisfaction across BMI classes. Furthermore, high BMI (obese, and morbidly obese) was not associated with higher postoperative complications (P = .70). Those with a high overall satisfaction score had a significantly greater self-reported aesthetic score compared to those with low and mid satisfied scores (P <.01).Following reduction mammoplasty, patients report high satisfaction which is sustained over several years. Obesity is not associated with a higher incidence of complications or lower satisfaction. Our data suggest that patients with a high BMI should not be denied reduction mammoplasty out of concern for higher complication rate or reduced patient satisfaction due to BMI alone, but reduction mammoplasty should be considered in the setting of overall health counseling.

Original languageEnglish (US)
Pages (from-to)e16055
JournalMedicine
Volume98
Issue number25
DOIs
StatePublished - Jun 1 2019

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Mammaplasty
Body Mass Index
Patient Satisfaction
Patient Reported Outcome Measures
Esthetics
Medical Records
Counseling
Breast
Obesity
Demography
Morbidity
Incidence
Health

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Ngaage, L. M., Bai, J., Gebran, S., Elegbede, A., Ihenatu, C., Nam, A. J., ... Rasko, Y. M. (2019). A 12-year review of patient-reported outcomes after reduction mammoplasty in patients with high body mass index. Medicine, 98(25), e16055. https://doi.org/10.1097/MD.0000000000016055

A 12-year review of patient-reported outcomes after reduction mammoplasty in patients with high body mass index. / Ngaage, Ledibabari M.; Bai, Jennifer; Gebran, Selim; Elegbede, Adekunle; Ihenatu, Chinezimuzo; Nam, Arthur J.; Slezak, Sheri; Rasko, Yvonne M.

In: Medicine, Vol. 98, No. 25, 01.06.2019, p. e16055.

Research output: Contribution to journalArticle

Ngaage, LM, Bai, J, Gebran, S, Elegbede, A, Ihenatu, C, Nam, AJ, Slezak, S & Rasko, YM 2019, 'A 12-year review of patient-reported outcomes after reduction mammoplasty in patients with high body mass index', Medicine, vol. 98, no. 25, pp. e16055. https://doi.org/10.1097/MD.0000000000016055
Ngaage, Ledibabari M. ; Bai, Jennifer ; Gebran, Selim ; Elegbede, Adekunle ; Ihenatu, Chinezimuzo ; Nam, Arthur J. ; Slezak, Sheri ; Rasko, Yvonne M. / A 12-year review of patient-reported outcomes after reduction mammoplasty in patients with high body mass index. In: Medicine. 2019 ; Vol. 98, No. 25. pp. e16055.
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