Does History of Reduction Mammoplasty Predispose to Lactation Complications? A Multicenter Retrospective Cohort.

IF 2.7 3区医学 Q2 SURGERY

Aesthetic Plastic Surgery Pub Date : 2026-09-21 DOI:10.1007/s00266-026-06262-8

Yoram Wolf, Ron Skorochod, Nir Zontag

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引用次数: 0

Abstract

Background: Reduction mammoplasty is a prevalent procedure, primarily done to treat macromastia. While it is known for its positive clinical and quality of life benefits, there are still concerns regarding long-term complications it may carry, especially during pregnancy and lactation.

Purpose: Our primary objective is to evaluate whether reduction mammoplasty increased the risk for breastfeeding complications compared with matched control patients who did not undergo prior aesthetic breast surgery.

Methods: A retrospective study using TriNetX platform was queried for female patients aged 18 years and older. Patients who underwent reduction mammoplasty and subsequently delivered were compared with patients who delivered without a history of aesthetic breast surgery. The primary outcome were breastfeeding complications within a year after delivery, including lactation disorders, breast infections, mastitis, antibiotic prescriptions, and emergency department (ED) visits.

Results: 1103 patients who had reduction mammoplasty and delivery were propensity-matched to 1103 control patients who had delivery. Within 1 year of delivery, patients who had reduction mammoplasty had a comparable risk for disorders of lactations [hazard ratio (HR) = 1.41; CI (0.87-2.27); p = 0.16], infections of breast [HR = 0.67; CI (0.39-1.16); p = 0.15], and mastitis [HR = 0.60; CI (0.31-1.15); p = 0.12]. However, an increased risk for antibiotic prescription [HR = 1.20; CI (1.05-1.37); p = 0.005] and ED visits [HR = 1.38; CI (1.13-1.67); p = 0.0011] were observed.

Conclusions: Reduction mammoplasty was not associated with a significant increase in breastfeeding disorders or breast infections after delivery, but was associated with higher antibiotic prescriptions and ED visits. These findings suggest that the procedure may not be linked to major adverse lactation outcomes.

Level of evidence iii: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

查看原文本刊更多论文

缩乳术的历史是否易导致哺乳并发症？多中心回顾性队列研究。

背景：缩小乳房成形术是一种普遍的手术，主要用于治疗巨乳症。虽然它以其积极的临床和生活质量效益而闻名，但仍然存在对其可能携带的长期并发症的担忧，特别是在怀孕和哺乳期间。目的：我们的主要目的是评估缩小乳房成形术是否会增加母乳喂养并发症的风险，而对照组患者之前没有接受过乳房美容手术。方法：采用TriNetX平台对18岁及以上女性患者进行回顾性研究。接受乳房缩小成形术并随后分娩的患者与没有乳房美容手术史的患者进行比较。主要结果是分娩后一年内的母乳喂养并发症，包括哺乳障碍、乳房感染、乳腺炎、抗生素处方和急诊就诊。结果：1103例乳房缩小成形术和分娩的患者与1103例分娩的对照组患者倾向匹配。在分娩1年内，乳房缩小成形术患者发生哺乳障碍的风险相当[危险比(HR) = 1.41；CI (0.87 - -2.27);p = 0.16]，乳腺感染[HR = 0.67；CI (0.39 - -1.16);p = 0.15]，乳腺炎[HR = 0.60；CI (0.31 - -1.15);p = 0.12]。然而，抗生素处方的风险增加[HR = 1.20；CI (1.05 - -1.37);p = 0.005]和ED就诊[HR = 1.38；CI (1.13 - -1.67);P = 0.0011]。结论：缩小乳房成形术与分娩后母乳喂养障碍或乳房感染的显著增加无关，但与抗生素处方和急诊科就诊的增加有关。这些发现表明，该手术可能与主要的不良泌乳结果无关。证据等级iii：本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或在线作者说明www.springer.com/00266。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aesthetic Plastic Surgery 医学-外科

CiteScore

4.40

自引率

25.00%

发文量

479

审稿时长

3 months

期刊介绍： Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP). Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships. Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.