Reduction Mammoplasty: Review of Mammographic features following Breast reduction surgery

DOI: https://doi.org/10.47648/zhswmcj.2022.v0401.06

Afrina Sharmin1 , Md. Ataur Rahman2 , Zaman Ummay Humayra3 , Mostafa Amin Khan4 , Rejwan Shah5

Abstract

Reduction mammoplasty is a common aesthetic surgical procedure among all breast non-oncological surgeries. Patients with macromastia and symptoms came for surgery with the aim to remove excess skin, fat, glandular tissue from the breast to create more aesthetically pleasing small breast. Patients also complaint chronic neck, back and shoulder pain, kyphosis, chronic intertrigo in the inframammary folds. They also suffered from limitation of physical activity, problems with large breasts. Following reduction surgery, preoperative symptoms have been shown to be significantly reduced, improve symmetry. But in breast cancer surgical treatment contralateral partial mastectomy or total mastectomy with reconstruction done with Oncological safety and aesthetic outcome. Fibrosis and the scar formation after surgery sometimes give negative effects on the assessment of radiological screenings. Features are found difficult to differentiate between benign and malignant lesions in breast imaging specially Mammography which performed months or years later. An experienced interpreting radiologist also may have difficulty distinguishing between postsurgical changes after reduction mammoplasty and the imaging appearance of malignancy on occasion. So gradually Radiologists must be more experienced to understanding the expected postsurgical imaging and be able to differentiate the benign postoperative changes from suspicious breast pathology.

Keywords: Reduction mammoplasty, mammogram, calcification, fat necrosis.


  1. Assistant Professor, Department of Surgery

    Z H Sikder Women's Medical College, Dhaka

  2. Professor, Department of Surgery

    Z H Sikder Women's Medical College, Dhaka

  3. Professor, Department of Surgery

    East West Medical College Hospital, Dhaka

  4. Assistant Professor, Department of Plastic Surgery

    National Medical College Hospital, Dhaka

  5. Assistant Professor, Department of Surgery

    Z H Sikder Women's Medical College, Dhaka


Volume 4, Number 1, January 2022
Page: 27-30