Scholarlink

Background <p>Breast hypertrophy, characterized by abnormal breast enlargement, often leads to chronic neck and back pain. Breast-reduction mammoplasty is commonly performed to alleviate these symptoms and improve breast appearance. Proper preoperative measurements are crucial for satisfactory long-term results. This study aimed to investigate long-term postoperative changes in breast morphology following breast reduction mammoplasty.</p> Methods <p>We retrospectively analyzed 122 patients who underwent breast reduction mammoplasty at Hannover Medical School between 2011 and 2021. Various pedicle techniques were used, and changes in breast shape and contour were measured from pre- and postoperative photographs using Image J software.</p> Results <p>A total of 122 female patients (244 breasts) were included. The average postoperative nipple to inframammary fold (N-IF) distance on the right side changed from 142&#xa0;mm to 72&#xa0;mm (<i>P</i>&lt;0.0001) at &gt;3 months, 72&#xa0;mm to 80&#xa0;mm at 3-6 months, and 80&#xa0;mm to 85&#xa0;mm at &gt;1 year. Statistically significant changes in breast shape were observed when comparing preoperative measurements with all postoperative time points (<i>P</i>&lt;0.0001). No significant differences were found between the individual postoperative time points (&gt;3 months vs. 3-6 months; 3-6 months vs. &gt;1 year), indicating that breast shape stabilizes within the first 3 months after surgery and remains relatively stable thereafter. The mean increase in N-IF distance at &gt;1 year follow-up was 16&#xa0;mm on the right and 14&#xa0;mm on the left. The sulcus jugularis to nipple (SN-N) distance increased by 12&#xa0;mm on the right and 6&#xa0;mm on the left. The clavicle to nipple (C-NL) distance increased by 16&#xa0;mm on the right and 14&#xa0;mm on the left.</p> Conclusions <p>This study demonstrates satisfactory and stable long-term changes in breast shape post-mammoplasty, aiding surgeons in planning and advising patients on expected outcomes.</p> <p>Level of Evidence: Level III, risk / prognostic study.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Long-term changes of shape following breast reduction surgery: A retrospective single center study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月3日

查看全文
  • Niks Gulbis,
  • Doha Obed,
  • Nadjib Dastagir,
  • Frederik Schlottmann,
  • Peter M. Vogt,
  • Khaled Dastagir

摘要

Background

Breast hypertrophy, characterized by abnormal breast enlargement, often leads to chronic neck and back pain. Breast-reduction mammoplasty is commonly performed to alleviate these symptoms and improve breast appearance. Proper preoperative measurements are crucial for satisfactory long-term results. This study aimed to investigate long-term postoperative changes in breast morphology following breast reduction mammoplasty.

Methods

We retrospectively analyzed 122 patients who underwent breast reduction mammoplasty at Hannover Medical School between 2011 and 2021. Various pedicle techniques were used, and changes in breast shape and contour were measured from pre- and postoperative photographs using Image J software.

Results

A total of 122 female patients (244 breasts) were included. The average postoperative nipple to inframammary fold (N-IF) distance on the right side changed from 142 mm to 72 mm (P<0.0001) at >3 months, 72 mm to 80 mm at 3-6 months, and 80 mm to 85 mm at >1 year. Statistically significant changes in breast shape were observed when comparing preoperative measurements with all postoperative time points (P<0.0001). No significant differences were found between the individual postoperative time points (>3 months vs. 3-6 months; 3-6 months vs. >1 year), indicating that breast shape stabilizes within the first 3 months after surgery and remains relatively stable thereafter. The mean increase in N-IF distance at >1 year follow-up was 16 mm on the right and 14 mm on the left. The sulcus jugularis to nipple (SN-N) distance increased by 12 mm on the right and 6 mm on the left. The clavicle to nipple (C-NL) distance increased by 16 mm on the right and 14 mm on the left.

Conclusions

This study demonstrates satisfactory and stable long-term changes in breast shape post-mammoplasty, aiding surgeons in planning and advising patients on expected outcomes.

Level of Evidence: Level III, risk / prognostic study.