{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T22:51:57Z","timestamp":1791931917098,"version":"4.3.4"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>The authors seek to evaluate the impact of age, body mass index (BMI), and resection weight, on postoperative complications in women undergoing primary bilateral reduction mammaplasty.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>A retrospective review of all primary bilateral reduction mammaplasties between February of 2014 and August of 2018 was performed. Patient demographics, medical comorbidities, tobacco use, BMI, operative technique, operative time, resection weight, and complications were reviewed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Two hundred seventy-seven women were included. Mean age was 35.71 years, and BMI was 30.17 kg\/m<jats:sup>2<\/jats:sup>. An inferior pedicle (53.07%) with Wise pattern resection (53.43%) was used most commonly. The minor complication rate was 49.1%, with superficial wounds (42.1%) occurring most commonly. Thirty-three women (11.9%) required greater than 2 months to heal. The major complication rate was 4.31%. BMI was not associated with minor or major complications on univariate analysis (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.1003 and <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.6163), but was associated with wound healing requiring greater than 2 months (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.0009), longer operative times (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.0002), and higher resection weights (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.00001). Greater age was associated with higher minor complication rates (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.0048). On multivariate analysis, BMI was associated with wound healing requiring greater than 2 months (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.0137), and age with minor complications (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.0180). No factors impacted major complication rates.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Women with higher BMI are more likely to require larger resections, longer operative times, and are at higher risk for wound healing requiring greater than 2 months. Although BMI is an important consideration for determining operative candidacy, the benefits of reduction may outweigh these risks in carefully selected patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CLINICAL QUESTION\/LEVEL OF EVIDENCE:<\/jats:title>\n            <jats:p>Risk, III.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/prs.0000000000009986","type":"journal-article","created":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T20:14:13Z","timestamp":1675368853000},"page":"727-735","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":18,"title":["Impact of Age, Body Mass Index, and Resection Weight on Postoperative Complications in Reduction Mammaplasty"],"prefix":"10.1097","volume":"151","author":[{"given":"Jesse I.","family":"Payton","sequence":"first","affiliation":[{"name":"Division of Plastic Surgery, Baylor Scott & White Medical Center"},{"name":"Texas A&M Health Science Center College of Medicine."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasson T.","family":"Abraham","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Baylor Scott & White Medical Center"},{"name":"Texas A&M Health Science Center College of Medicine."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew D.","family":"Novak","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Baylor Scott & White Medical Center"},{"name":"Texas A&M Health Science Center College of Medicine."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon E.","family":"Monsivais","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Baylor Scott & White Medical Center"},{"name":"Texas A&M Health Science Center College of Medicine."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendall P.","family":"Hammonds","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Baylor Scott & White Medical Center"},{"name":"Texas A&M Health Science Center College of Medicine."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew M.","family":"Altman","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Baylor Scott & White Medical Center"},{"name":"Texas A&M Health Science Center College of Medicine."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,12,5]]},"reference":[{"key":"R2-20250501","doi-asserted-by":"crossref","first-page":"e16055","DOI":"10.1097\/MD.0000000000016055","article-title":"A 12-year review of patient-reported outcomes after reduction mammoplasty in patients with high body mass 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2015-2016.","volume":"319","author":"Hales","year":"2018","journal-title":"JAMA"},{"key":"R9-20250501","doi-asserted-by":"crossref","first-page":"10","DOI":"10.3109\/2000656X.2013.791625","article-title":"Risk factors for complications after breast reduction surgery.","volume":"48","author":"Lewin","year":"2014","journal-title":"J Plast Surg Hand Surg"},{"key":"R10-20250501","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1177\/1090820X14525393","article-title":"A population-level analysis of bilateral breast reduction: does age affect early complications?.","volume":"34","author":"Nelson","year":"2014","journal-title":"Aesthet Surg J"},{"key":"R11-20250501","doi-asserted-by":"crossref","first-page":"1597","DOI":"10.1097\/01.PRS.0000160695.33457.DB","article-title":"Analysis of breast reduction complications derived from the BRAVO study.","volume":"115","author":"Cunningham","year":"2005","journal-title":"Plast Reconstr 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A retrospective study on 242 patients.","volume":"32","author":"Atterhem","year":"1998","journal-title":"Scand J Plast Reconstr Surg Hand Surg"},{"key":"R13-20250501","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1097\/01.PRS.0000152428.43300.19","article-title":"A comparison of complication rates in large and small inferior pedicle reduction mammaplasty.","volume":"115","author":"O\u2019Grady","year":"2005","journal-title":"Plast Reconstr Surg"},{"key":"R14-20250501","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1177\/1090820X13515676","article-title":"Complications following reduction mammaplasty: a review of 3538 cases from the 2005-2010 NSQIP data sets.","volume":"34","author":"Fischer","year":"2014","journal-title":"Aesthet Surg J"},{"key":"R15-20250501","doi-asserted-by":"crossref","first-page":"998","DOI":"10.1097\/00006534-200010000-00006","article-title":"Relationship of obesity and specimen weight to complications in reduction mammaplasty.","volume":"106","author":"Zubowski","year":"2000","journal-title":"Plast Reconstr Surg"},{"key":"R16-20250501","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1097\/PRS.0b013e31817d60f4","article-title":"Breast reduction: safe in the morbidly obese?.","volume":"122","author":"Roehl","year":"2008","journal-title":"Plast Reconstr Surg"},{"key":"R17-20250501","doi-asserted-by":"crossref","first-page":"1182","DOI":"10.1097\/PRS.0b013e318230c467","article-title":"Increasing age impairs outcomes in breast reduction surgery.","volume":"128","author":"Shermak","year":"2011","journal-title":"Plast Reconstr Surg"}],"container-title":["Plastic &amp; Reconstructive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PRS.0000000000009986","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T00:24:43Z","timestamp":1746145483000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PRS.0000000000009986"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,5]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1097\/prs.0000000000009986","relation":{},"ISSN":["0032-1052"],"issn-type":[{"value":"0032-1052","type":"print"}],"subject":[],"published":{"date-parts":[[2022,12,5]]}}}