PMID- 29433957 OWN - NLM STAT- MEDLINE DCOM- 20190328 LR - 20190328 IS - 1878-0539 (Electronic) IS - 1748-6815 (Linking) VI - 71 IP - 5 DP - 2018 May TI - Liposuction-assisted four pedicle-based breast reduction (LAFPBR): A new safer technique of breast reduction for elderly patients. PG - 691-698 LID - S1748-6815(18)30018-4 [pii] LID - 10.1016/j.bjps.2018.01.006 [doi] AB - As older people increasingly care for their body image and remain active longer, the demand for reduction mammaplasty is increasing in this population. Only a few studies of reduction mammaplasty have specifically focussed on the outcomes in elderly women. We developed a new breast reduction technique: the Liposuction-Assisted Four Pedicle-Based Breast Reduction (LAFPBR) that is especially indicated for elderly patients. The aim of this paper was to describe the LAFPBR technique and to determine whether it could be considered a safer option for elderly patients compared to the superomedial pedicle (SMP) technique. A retrospective study included sixty-two women aged 60 years and over who underwent bilateral breast reduction mammaplasty. Thirty-one patients underwent LAFPBR and 31 patients were operated using the SMP technique. Complications and patient satisfaction in both groups were analysed. Patient satisfaction was measured using a validated questionnaire: the client satisfaction questionnaire 8 (CSQ-8). The LAFPBR technique required less operating time, and avoided significant blood loss. Six minor complications were observed in SMP patients. No LAFPBR women developed a procedure-related complication. Patient satisfaction was high with a mean score of 29.65 in LAFPBR patients and 28.68 in SMP patients. The LAFPBR is an easy procedure that appears safer than SMP and results in a high satisfaction rate in elderly women. CI - Copyright (c) 2018 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. FAU - La Padula, Simone AU - La Padula S AD - Department of Plastic, Reconstructive and Maxillofacial Surgery, Henri Mondor Hospital, 51 avenue du Marechal de Lattre de Tassigny, Creteil 94010, France. Electronic address: drsimonelapadula@gmail.com. FAU - Hersant, Barbara AU - Hersant B AD - Department of Plastic, Reconstructive and Maxillofacial Surgery, Henri Mondor Hospital, 51 avenue du Marechal de Lattre de Tassigny, Creteil 94010, France. FAU - Noel, Warren AU - Noel W AD - Department of Plastic, Reconstructive and Maxillofacial Surgery, Henri Mondor Hospital, 51 avenue du Marechal de Lattre de Tassigny, Creteil 94010, France. FAU - Meningaud, Jean Paul AU - Meningaud JP AD - Department of Plastic, Reconstructive and Maxillofacial Surgery, Henri Mondor Hospital, 51 avenue du Marechal de Lattre de Tassigny, Creteil 94010, France. LA - eng PT - Journal Article DEP - 20180131 PL - Netherlands TA - J Plast Reconstr Aesthet Surg JT - Journal of plastic, reconstructive & aesthetic surgery : JPRAS JID - 101264239 SB - IM MH - Aged MH - Female MH - Humans MH - Lipectomy/*methods MH - Mammaplasty/*methods MH - Middle Aged MH - Operative Time MH - Patient Satisfaction MH - Postoperative Complications MH - Retrospective Studies MH - *Surgical Flaps MH - Treatment Outcome OTO - NOTNLM OT - Breast reduction OT - Elderly patients OT - Liposuction mammaplasty OT - Superomedial pedicle breast reduction EDAT- 2018/02/13 06:00 MHDA- 2019/03/29 06:00 CRDT- 2018/02/14 06:00 PHST- 2016/08/06 00:00 [received] PHST- 2017/12/12 00:00 [revised] PHST- 2018/01/21 00:00 [accepted] PHST- 2018/02/13 06:00 [pubmed] PHST- 2019/03/29 06:00 [medline] PHST- 2018/02/14 06:00 [entrez] AID - S1748-6815(18)30018-4 [pii] AID - 10.1016/j.bjps.2018.01.006 [doi] PST - ppublish SO - J Plast Reconstr Aesthet Surg. 2018 May;71(5):691-698. doi: 10.1016/j.bjps.2018.01.006. Epub 2018 Jan 31.