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Evidence from other surgical fields suggests that co-surgeon teams can improve operative efficiency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims and Objectives<\/jats:title>\n                    <jats:p>This study aimed to compare operative time and outcomes in reduction mammaplasty performed by co-surgeons (CS) versus a single surgeon (SS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective cohort study including all consecutive patients who underwent primary reduction mammaplasty in a 20-years period. All procedures were led by attending faculty surgeons, with assistants being either residents or other attendings.<\/jats:p>\n                    <jats:p>The primary outcome was operative time; secondary outcomes included intraoperative blood loss; resection weight, postoperative complications, reoperations, and length of hospital stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1716 patients were included: 855 (49.8%) underwent surgery with a SS, and 861 (50.2%) with a CS. Demographic and comorbidity profiles were mostly similar across the groups. Operative time was significantly shorter in the CS group (119.6 vs. 136.1 minutes,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). Postoperative complication rates and early reoperations were similar between groups. However, CS cases had a longer mean hospital stay (0.6 vs. 0.4 days,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). Late reoperations (&gt;30 days post-op), particularly for dog-ear corrections were more common in the CS group (11.7 vs. 3.0%,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). Multivariate analysis showed that higher BMI and smoking were significant predictors of complication occurrence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Using co-surgeons in reduction mammaplasty significantly reduces operative time. However, it may be associated with longer hospital stay and increased long-term reoperation rates. Further studies are needed to evaluate the cost-benefit ratio of this approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence III<\/jats:title>\n                    <jats:p>\n                      This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.springer.com\/00266\" ext-link-type=\"uri\">www.springer.com\/00266<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00266-026-05999-6","type":"journal-article","created":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T14:53:33Z","timestamp":1780671213000},"page":"5135-5141","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Two Surgeons Are Faster than One: A Comparative Study to Evaluate Efficiency and Outcomes in Reduction Mammaplasty"],"prefix":"10.1007","volume":"50","author":[{"given":"Iselin","family":"Saltvig","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5981-6870","authenticated-orcid":false,"given":"Salvatore","family":"Giordano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,5]]},"reference":[{"issue":"3","key":"5999_CR1","doi-asserted-by":"publisher","first-page":"382E","DOI":"10.1097\/PRS.0000000000007605","volume":"147","author":"AT Wampler","year":"2021","unstructured":"Wampler AT, Powelson IA, Homa K, Freed GL. 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