Complications and Quality of Life following Reduction Mammaplasty in Adolescents and Young Women

Laura C. Nuzzi, B.A.; Joseph M. Firriolo, M.D.; Carolyn M. Pike, M.S.N., M.P.H.; Amy D. DiVasta, M.D., M.M.Sc.; Brian I. Labow, M.D.


Plast Reconstr Surg. 2019;144(3):572-581. 

In This Article


Reduction mammaplasty significantly improves the breast-related symptoms and physical and psychosocial well-being of adolescent and young adult patients. Although complications are common, most are minor and do not diminish patients' marked gains in health-related quality of life. Patient age, body mass index category, and total resection mass did not increase the odds of developing a complication. Postoperative breast growth can occur in younger patients and may diminish the benefits of reduction mammaplasty. Providers, patients, and parents should be aware of the potential complications following reduction mammaplasty in this population Preoperative counseling should include the potential for persistent hypesthesia, scars necessitating treatment, and postoperative breast growth that may result in a return of baseline symptoms and require reoperation. However, fear of potential complications should not preclude otherwise healthy patients from the benefits that reduction mammaplasty can provide adolescents.