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Cohort studyAesthetic surgery journal. Open forum · 2026

Risk Factors for Postoperative Complications After Superomedial Pedicle Reduction Mammaplasty.

Alexandra Boric, Bo Hyun Kong, Ravi Dhawan … Albert Losken

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Internal MedicineCohort study

Overall complications occurred in over one-fifth of patients after superomedial pedicle reduction mammaplasty.

Risk Factors for Postoperative Complications After Superomedial Pedicle Reduction Mammaplasty.

Alexandra Boric … Albert Losken

Aesthetic surgery journal. Open forum · 2026

Background

The superomedial pedicle (superomedial pedicle) is a widely used reduction mammaplasty technique, but patient-specific risk factors may influence complications.

Purpose

The aim of this study was to quantify postoperative complication rates and identify independent predictors after bilateral superomedial pedicle breast reduction.

Methods

In this study, the authors retrospectively reviewed 643 consecutive patients undergoing bilateral superomedial pedicle breast reduction for macromastia from January 2004 to December 2024.

22.2%

Results

22.2%

patients who experienced any complications after breast reduction surgery

More results

The mean age was 39.3 years (range, 14-74 years), and the mean BMI was 32.5 kg/m 2 (range, 18.9-58.2 kg/m 2 ).

Only Classes II to III predicted any complication (all P ≤ .008) and infection (all P ≤ .025).

More results

In continuous BMI models, higher BMI (per 1 kg/m 2 increase) predicted any complication ( P = .011), minor complications ( P = .002), and delayed healing ( P = .001).

Total resection weight (per 100 g) was not a predictor of most complications, except nipple necrosis ( P = .001).

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Conclusion · 1 of 2

The superomedial reduction technique is safe and reproducible even in high-risk patients. Postoperative complications are driven predominantly by patient physiologic risk factors rather than resection volume.

Conclusion · 2 of 2

LEVEL OF EVIDENCE 3 THERAPEUTIC: For image description, please refer to the figure legend and surrounding text.

Risk Factors for Postoperative Complications After Superomedial Pedicle Reduction Mammaplasty.

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