Background: Breast reduction for macromastia represents
one of the common aesthetic surgeries. The currently available
methods include surgical reduction and/or liposuction. The
most commonly performed surgical technique is the inferior
pedicle.
Aim: This prospective study aimed to compare the results
of surgical reduction by inferior pedicle versus liposuction
alone.
Patients and Methods: Between January 2015 and November
2017 fifty two patients were undergone breast reduction
by either liposuction alone in 26 patients (group A), Or inferior
pedicle technique in the other 26 patients (group B). The
patient's demographics, operative notes, hospital stays, reduction
in size and volume, postoperative complications and
patient's satisfaction were recorded and statistically analyzed.
Results: The operative time, hospital stay, the postoperative
complication rate was significantly lower in group A, while
the reduction in size and volume was significantly higher in
group B. Patient's satisfaction noted to be higher in group A.
Significant high rates of complications were observed in
inferior pedicle reduction. Regarding patient's satisfaction
based on our finding that instead of liposuction reduction
alone did not achieve a great reduction in size but patients in
this group presenting higher satisfaction rate than the inferior
pedicle group due to absence of visible scar.
Conclusion: Based on the finding in this study liposuction
breast reduction alone is recommended as first option for
breast reduction of medium and even large sized breasts with
good skin quality especially for unmarried young females.
The inferior pedicle technique might be chosen for reduction
of giant breasts.