John S Mayo, Michelle Frees, Allison J Kehren, Omar Cespedes-Gomez, Nicole D Garrett, Warren Schubert, Minh-Doan T Nguyen
{"title":"Body Mass Index: Does It Really Matter for Breast Reductions?","authors":"John S Mayo, Michelle Frees, Allison J Kehren, Omar Cespedes-Gomez, Nicole D Garrett, Warren Schubert, Minh-Doan T Nguyen","doi":"10.1097/GOX.0000000000008170","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Multiple studies have demonstrated higher complication rates for patients undergoing reduction mammoplasty who have high body mass index (BMI). As a result, some insurance companies and providers have used a BMI limit to deny coverage of this procedure to patients seeking surgery. Still, few studies have examined whether higher complication rates affect patient satisfaction. This study further explores the relationship between BMI, complications, and patient satisfaction in reduction mammoplasty.</p><p><strong>Methods: </strong>A total of 899 consecutive patients at a single institution underwent reduction mammoplasty by 8 surgeons for symptomatic macromastia from 2016 to 2021. This cohort was queried using the BREAST-Q survey postoperatively. Kruskal-Wallis H-test was used to evaluate patient satisfaction and complication rates for 4 BMI groups, that is, normal (18.5-24.9 kg/m<sup>2</sup>), overweight (25-29.9 kg/m<sup>2</sup>), obese (30-39.9 kg/m<sup>2</sup>), and morbidly obese (>40 kg/m<sup>2</sup>).</p><p><strong>Results: </strong>Two hundred fifty patients completed surveys. The mean BMI was 32.4 kg/m<sup>2</sup> (range 20.3-50.5 kg/m<sup>2</sup>). Mean survey responses were highly favorable in all BMI categories, including 90% stating they \"definitely agree\" they \"would do it again.\" There was no statistical difference between the 4 BMI categories for patient satisfaction or complications.</p><p><strong>Conclusions: </strong>Patients with high BMI may have similar postoperative BREAST-Q satisfaction scores when compared to those with lower BMI.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"14 10","pages":"e8170"},"PeriodicalIF":1.9000,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657620/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Plastic and Reconstructive Surgery Global Open","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/GOX.0000000000008170","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/10/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Multiple studies have demonstrated higher complication rates for patients undergoing reduction mammoplasty who have high body mass index (BMI). As a result, some insurance companies and providers have used a BMI limit to deny coverage of this procedure to patients seeking surgery. Still, few studies have examined whether higher complication rates affect patient satisfaction. This study further explores the relationship between BMI, complications, and patient satisfaction in reduction mammoplasty.
Methods: A total of 899 consecutive patients at a single institution underwent reduction mammoplasty by 8 surgeons for symptomatic macromastia from 2016 to 2021. This cohort was queried using the BREAST-Q survey postoperatively. Kruskal-Wallis H-test was used to evaluate patient satisfaction and complication rates for 4 BMI groups, that is, normal (18.5-24.9 kg/m2), overweight (25-29.9 kg/m2), obese (30-39.9 kg/m2), and morbidly obese (>40 kg/m2).
Results: Two hundred fifty patients completed surveys. The mean BMI was 32.4 kg/m2 (range 20.3-50.5 kg/m2). Mean survey responses were highly favorable in all BMI categories, including 90% stating they "definitely agree" they "would do it again." There was no statistical difference between the 4 BMI categories for patient satisfaction or complications.
Conclusions: Patients with high BMI may have similar postoperative BREAST-Q satisfaction scores when compared to those with lower BMI.
期刊介绍：
Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.
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