{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T02:14:18Z","timestamp":1774059258526,"version":"3.50.1"},"reference-count":44,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jprasurg.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Plastic, Reconstructive &amp; Aesthetic Surgery"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1016\/j.bjps.2025.11.003","type":"journal-article","created":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T08:10:05Z","timestamp":1762416605000},"page":"129-137","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Nine factors influencing breast ptosis following reduction mammoplasty"],"prefix":"10.1016","volume":"113","author":[{"given":"Marco","family":"Gratteri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni Francesco","family":"Marangi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fara Desiree","family":"Romano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7746-6434","authenticated-orcid":false,"given":"Felicia Geanina","family":"Grosu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Porso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Tarantino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi","family":"Abate","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6116-7711","authenticated-orcid":false,"given":"Riccardo","family":"De Bernardis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9497-6757","authenticated-orcid":false,"given":"Annalisa","family":"Cogliandro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8857-6060","authenticated-orcid":false,"given":"Paolo","family":"Persichetti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.bjps.2025.11.003_bib1","first-page":"QA3","article-title":"Controversy of breast reduction in adolescent patients: an overview of a sometimes-challenging proposition","volume":"25","author":"Carr","year":"2025","journal-title":"Eplasty"},{"issue":"5","key":"10.1016\/j.bjps.2025.11.003_bib2","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1016\/j.bjps.2007.10.041","article-title":"Gigantomastia--a classification and review of the literature","volume":"61","author":"Dancey","year":"2008","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"5","key":"10.1016\/j.bjps.2025.11.003_bib3","doi-asserted-by":"crossref","first-page":"458","DOI":"10.5144\/0256-4947.1993.458","article-title":"Postpartum gigantomastia: a case report and review of the literature","volume":"13","author":"Hegazi","year":"1993","journal-title":"Ann Saudi Med"},{"issue":"5","key":"10.1016\/j.bjps.2025.11.003_bib4","doi-asserted-by":"crossref","first-page":"525","DOI":"10.3109\/00016348109155478","article-title":"Gigantomastia","volume":"60","author":"W\u00f8lner-Hanssen","year":"1981","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"3","key":"10.1016\/j.bjps.2025.11.003_bib5","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1016\/j.bjps.2018.12.004","article-title":"Reduction mammaplasty with superomedial pedicle technique: a literature review and retrospective analysis of 938 consecutive breast reductions","volume":"72","author":"Bauermeister","year":"2019","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.bjps.2025.11.003_bib6","first-page":"3","article-title":"The impact of psychiatric comorbidities on outcomes and quality of life in plastic surgery: a literature review & matched analysis","volume":"1","author":"Amro","year":"2025","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"10.1016\/j.bjps.2025.11.003_bib7","doi-asserted-by":"crossref","first-page":"531e","DOI":"10.1097\/PRS.0000000000001622","article-title":"Breast reduction","volume":"136","author":"Hall-Findlay","year":"2015","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.003_bib8","series-title":"StatPearls","article-title":"Mastopexy (breast lift)","author":"Toomey","year":"2025"},{"issue":"2","key":"10.1016\/j.bjps.2025.11.003_bib9","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.ejrad.2006.08.033","article-title":"BIRADS classification in mammography","volume":"61","author":"Balleyguier","year":"2007","journal-title":"Eur J Radiol"},{"issue":"2","key":"10.1016\/j.bjps.2025.11.003_bib10","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1097\/PRS.0000000000009835","article-title":"The objective stretch marks photonumeric assessment scale: a new and complete method to assess striae distensae","volume":"151","author":"La Padula","year":"2023","journal-title":"Plast Reconstr Surg"},{"issue":"5","key":"10.1016\/j.bjps.2025.11.003_bib11","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1097\/SAP.0000000000001145","article-title":"The Classic Pitanguy technique and its modifications in mammaplasty: ten years of experiences","volume":"79","author":"Zavrides","year":"2017","journal-title":"Ann Plast Surg"},{"issue":"3","key":"10.1016\/j.bjps.2025.11.003_bib12","doi-asserted-by":"crossref","first-page":"960","DOI":"10.1097\/01.PRS.0000019879.75710.7C","article-title":"Creation and evolution of 30 years of the inferior pedicle in reduction mammaplasties","volume":"110","author":"Ribeiro","year":"2002","journal-title":"Plast Reconstr Surg"},{"issue":"2","key":"10.1016\/j.bjps.2025.11.003_bib13","doi-asserted-by":"crossref","first-page":"e339","DOI":"10.1542\/peds.2011-3869","article-title":"The impact of macromastia on adolescents: a cross-sectional study","volume":"130","author":"Cerrato","year":"2012","journal-title":"Pediatrics"},{"issue":"5","key":"10.1016\/j.bjps.2025.11.003_bib14","doi-asserted-by":"crossref","first-page":"743e","DOI":"10.1097\/PRS.0000000000006117","article-title":"Breast-related quality of life in young reduction mammaplasty patients: a long-term follow-up using the BREAST-Q","volume":"144","author":"Krucoff","year":"2019","journal-title":"Plast Reconstr Surg"},{"issue":"12","key":"10.1016\/j.bjps.2025.11.003_bib15","doi-asserted-by":"crossref","first-page":"1647","DOI":"10.1016\/j.bjps.2008.06.067","article-title":"Improvement of physical and psychological symptoms after breast reduction","volume":"62","author":"Rogliani","year":"2009","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"3","key":"10.1016\/j.bjps.2025.11.003_bib16","doi-asserted-by":"crossref","first-page":"382e","DOI":"10.1097\/PRS.0000000000007605","article-title":"BREAST-Q outcomes before and after bilateral reduction mammaplasty","volume":"147","author":"Wampler","year":"2021","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"10.1016\/j.bjps.2025.11.003_bib17","doi-asserted-by":"crossref","first-page":"NP231","DOI":"10.1093\/asj\/sjac293","article-title":"Patient-reported outcomes after reduction mammoplasty using BREAST-Q: a systematic review and meta-analysis","volume":"43","author":"Wang","year":"2023","journal-title":"Aesthet Surg J"},{"issue":"4","key":"10.1016\/j.bjps.2025.11.003_bib18","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.jpag.2013.03.005","article-title":"Breast reduction in adolescents: indication, timing, and a review of the literature","volume":"26","author":"Xue","year":"2013","journal-title":"J Pediatr Adolesc Gynecol"},{"issue":"1","key":"10.1016\/j.bjps.2025.11.003_bib19","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1007\/s00266-024-04162-3","article-title":"Correlation between general satisfaction with the breasts and appearance of the scars in patients undergoing inverted T-Scar reduction mammaplasty: a prospective PROMs-based study","volume":"49","author":"Marangi","year":"2025","journal-title":"Aesthet Plast Surg"},{"key":"10.1016\/j.bjps.2025.11.003_bib20","unstructured":"Isaps-global-survey_2023.pdf. \u3008https:\/\/www.isaps.org\/media\/rxnfqibn\/isaps-global-survey_2023.pdf\u3009 [Accessed February 5, 2025]."},{"key":"10.1016\/j.bjps.2025.11.003_bib21","unstructured":"Global survey 2023: full report and press releases. \u3008https:\/\/www.isaps.org\/discover\/about-isaps\/global-statistics\/global-survey-2023-full-report-and-press-releases\/\u3009 [Accessed February 5, 2025]."},{"issue":"3","key":"10.1016\/j.bjps.2025.11.003_bib22","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1097\/00006534-197555030-00010","article-title":"A new technique for reduction mammaplasty","volume":"55","author":"Ribeiro","year":"1975","journal-title":"Plast Reconstr Surg"},{"issue":"2","key":"10.1016\/j.bjps.2025.11.003_bib23","doi-asserted-by":"crossref","first-page":"74","DOI":"10.4236\/abcr.2016.52008","article-title":"A new technique for mastopexy and reduction mammaplasty: the rolling bilateral flap technique","volume":"5","author":"Karoschitz","year":"2016","journal-title":"Adv Breast Cancer Res"},{"issue":"2","key":"10.1016\/j.bjps.2025.11.003_bib24","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1097\/00000637-200202000-00002","article-title":"A personal technique: mammaplasty with J scar","volume":"48","author":"Gasperoni","year":"2002","journal-title":"Ann Plast Surg"},{"issue":"3","key":"10.1016\/j.bjps.2025.11.003_bib25","doi-asserted-by":"crossref","first-page":"339e","DOI":"10.1097\/PRS.0000000000007263","article-title":"Breast reduction: Surgical techniques with an emphasis on evidence-based practice and outcomes","volume":"146","author":"Colohan","year":"2020","journal-title":"Plast Reconstr Surg"},{"issue":"6S 5","key":"10.1016\/j.bjps.2025.11.003_bib26","doi-asserted-by":"crossref","first-page":"S659","DOI":"10.1097\/SAP.0000000000003445","article-title":"Are surgical approaches correlated with BREAST-Q score improvements after reduction mammoplasty? A systematic review","volume":"90","author":"Liao","year":"2023","journal-title":"Ann Plast Surg"},{"issue":"3","key":"10.1016\/j.bjps.2025.11.003_bib27","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1111\/srt.12335","article-title":"Effect of aging on breast skin thickness and elasticity: implications for breast support","volume":"23","author":"Coltman","year":"2017","journal-title":"Skin Res Technol"},{"issue":"3","key":"10.1016\/j.bjps.2025.11.003_bib28","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/0022-202X(89)90058-4","article-title":"Age-related mechanical properties of human skin: an in vivo study","volume":"93","author":"Escoffier","year":"1989","journal-title":"J Investig Dermatol"},{"issue":"1","key":"10.1016\/j.bjps.2025.11.003_bib29","doi-asserted-by":"crossref","DOI":"10.1101\/cshperspect.a015370","article-title":"Natural and sun-induced aging of human skin","volume":"5","author":"Ritti\u00e9","year":"2015","journal-title":"Cold Spring Harb Perspect Med"},{"issue":"1","key":"10.1016\/j.bjps.2025.11.003_bib30","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.apergo.2012.05.006","article-title":"Bra-breast forces generated in women with large breasts while standing and during treadmill running: Implications for sports bra design","volume":"44","author":"McGhee","year":"2013","journal-title":"Appl Erg"},{"issue":"1","key":"10.1016\/j.bjps.2025.11.003_bib31","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1097\/PRS.0000000000008065","article-title":"Striae distensae: scars without wounds","volume":"148","author":"Borrelli","year":"2021","journal-title":"Plast Reconstr Surg"},{"issue":"1","key":"10.1016\/j.bjps.2025.11.003_bib32","first-page":"176","article-title":"Striae distensae in adolescents: a mini review","volume":"91","author":"Elsedfy","year":"2020","journal-title":"Acta Biomed"},{"issue":"3","key":"10.1016\/j.bjps.2025.11.003_bib33","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1007\/s11695-024-07066-y","article-title":"Comparison of histological skin changes after massive weight loss in post-bariatric and non-bariatric patients","volume":"34","author":"Hany","year":"2024","journal-title":"Obes Surg"},{"issue":"3","key":"10.1016\/j.bjps.2025.11.003_bib34","doi-asserted-by":"crossref","first-page":"1064","DOI":"10.1007\/s00266-020-02016-2","article-title":"Body contouring surgery improves weight loss after bariatric surgery: a systematic review and meta-analysis","volume":"45","author":"ElAbd","year":"2021","journal-title":"Aesthet Plast Surg"},{"issue":"3","key":"10.1016\/j.bjps.2025.11.003_bib35","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.jadohealth.2015.06.002","article-title":"Weight changes after reduction mammaplasty in adolescents","volume":"57","author":"Pike","year":"2015","journal-title":"J Adolesc Health Publ Soc Adolesc Med"},{"issue":"1","key":"10.1016\/j.bjps.2025.11.003_bib36","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1038\/jidsymp.2009.13","article-title":"Molecular basis of tobacco smoke-induced premature skin aging","volume":"14","author":"Morita","year":"2009","journal-title":"J Investig Dermatol Symp Proc"},{"issue":"1","key":"10.1016\/j.bjps.2025.11.003_bib37","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00441-013-1751-2","article-title":"Skin and diabetes mellitus: what do we know?","volume":"355","author":"Quondamatteo","year":"2014","journal-title":"Cell Tissue Res"},{"key":"10.1016\/j.bjps.2025.11.003_bib38","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/978-3-030-41596-9_1","article-title":"Anatomy and physiology of the breast during pregnancy and lactation","volume":"1252","author":"Alex","year":"2020","journal-title":"Adv Exp Med Biol"},{"issue":"2","key":"10.1016\/j.bjps.2025.11.003_bib39","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/j.bjps.2018.10.018","article-title":"Systematic review of outcomes and complications in nonimplant-based mastopexy surgery","volume":"72","author":"di Summa","year":"2019","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"3","key":"10.1016\/j.bjps.2025.11.003_bib40","article-title":"Innovative application of GalaFLEX Poly-4-hydroxybutyrate scaffold in breast reduction\/mastopexy with inferiorly based dermo-adipose flap","volume":"12","author":"Cagli","year":"2024","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"14","key":"10.1016\/j.bjps.2025.11.003_bib41","doi-asserted-by":"crossref","first-page":"4013","DOI":"10.1007\/s00266-025-04663-9","article-title":"Long-term efficacy and safety of poly-4-hydroxybutyrate (P4HB) scaffold (GalaFLEX) in mastopexy for breast ptosis: a prospective study","volume":"49","author":"Buccheri","year":"2025","journal-title":"Aesthet Plast Surg"},{"issue":"3","key":"10.1016\/j.bjps.2025.11.003_bib42","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1016\/j.bjps.2021.11.007","article-title":"Long-term evaluation of nipple-areolar complex changes in inferior versus superomedial pedicle reduction mammoplasty: a comparative study","volume":"75","author":"Watfa","year":"2022","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"3","key":"10.1016\/j.bjps.2025.11.003_bib43","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.21037\/gs-20-440","article-title":"Evaluation of long-term breast shape in inferior versus superomedial pedicle reduction mammoplasty: a comparative study","volume":"10","author":"Sapino","year":"2021","journal-title":"Gland Surg"},{"issue":"2","key":"10.1016\/j.bjps.2025.11.003_bib44","doi-asserted-by":"crossref","first-page":"174e","DOI":"10.1097\/PRS.0000000000011979","article-title":"Superolateral pedicle breast reduction for patients with medially positioned nipple-areola complexes","volume":"156","author":"Lava","year":"2025","journal-title":"Plast Reconstr Surg"}],"container-title":["Journal of Plastic, Reconstructive &amp; Aesthetic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681525006473?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681525006473?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T01:40:04Z","timestamp":1774057204000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1748681525006473"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":44,"alternative-id":["S1748681525006473"],"URL":"https:\/\/doi.org\/10.1016\/j.bjps.2025.11.003","relation":{},"ISSN":["1748-6815"],"issn-type":[{"value":"1748-6815","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Nine factors influencing breast ptosis following reduction mammoplasty","name":"articletitle","label":"Article Title"},{"value":"Journal of Plastic, Reconstructive & Aesthetic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bjps.2025.11.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}