Risk Factors for Postoperative Complications After Superomedial Pedicle Reduction Mammaplasty.
Overall complications occurred in over one-fifth of patients after superomedial pedicle reduction mammaplasty.
Risk Factors for Postoperative Complications After Superomedial Pedicle Reduction Mammaplasty.
The superomedial pedicle (superomedial pedicle) is a widely used reduction mammaplasty technique, but patient-specific risk factors may influence complications.
The aim of this study was to quantify postoperative complication rates and identify independent predictors after bilateral superomedial pedicle breast reduction.
In this study, the authors retrospectively reviewed 643 consecutive patients undergoing bilateral superomedial pedicle breast reduction for macromastia from January 2004 to December 2024.
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).
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).
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.
LEVEL OF EVIDENCE 3 THERAPEUTIC: For image description, please refer to the figure legend and surrounding text.