Breast Reduction Techniques and Outcomes: A Meta-analysis

Background: Although sequelae such as visible scarring often are an expected result of reduction mammaplasty, successful aesthetic outcomes depend on the surgeon's thorough understanding of the available techniques. Objective: A literature review was undertaken to compare published outcome data for the five classical reduction mammaplasty techniques as described by Pitanguy, Skoog, McKissock, Goldwyn, and LeJour. Methods: Complication rates, patient satisfaction, and symptom relief are reviewed. Management of common pitfalls is discussed. Results: Reported complication rates range from 6.5% to 22% for reduction mammaplasty, whereas reported patient satisfaction rates range from 80% to 95%. Reported rates of symptom improvement range from 70% to 100%, with a dramatic improvement in psychological well-being. Conclusion: It is hoped that an understanding of the principles and caveats published by the originators of these five techniques will promote enhanced skill in performing reduction mammaplasty.