ArticleAesthetic surgery journal. Open forum2026
Risk Factors for Postoperative Complications After Superomedial Pedicle Reduction Mammaplasty.
Article in Aesthetic surgery journal. Open forum, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
5 authors.
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Abstract
Background: The superomedial pedicle (SMP) is a widely used reduction mammaplasty technique, but patient-specific risk factors may influence complications. Objectives: The aim of this study was to quantify postoperative complication rates and identify independent predictors after bilateral SMP breast reduction. Methods: In this study, the authors retrospectively reviewed 643 consecutive patients undergoing bilateral SMP breast reduction for macromastia from January 2004 to December 2024. Complications were classified as minor (delayed healing, infection, seroma, hematoma, and necrotic events) or major (readmission and/or reoperation). Logistic regression identified predictors, adjusting for age, BMI or obesity class (BMI <30, Classes I-III), smoking, hypertension, and diabetes. Results: The mean age was 39.3 years (range, 14-74 years), and the mean BMI was 32.5 kg/m Conclusions: 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.
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