Abstract 18: Creating a Low Profile Anchor to Eliminate High Profile Suture Knots

RESULTS: Mean age at the time of reduction mammaplasty was 17.9 ± 1.7 years. Patients with macromastia demonstrated significant score improvements postoperatively from baseline on the RSES, BRSQ, and in seven out of eight SF-36 domains. Postoperative subjects scored significantly higher than controls at follow-up on the RSES and in four SF-36 domains (physical functioning, bodily pain, social functioning, and mental health), when controlling for differences in baseline BMI category (p<0.05, all). Followup scores on the EAT-26, BRSQ, and in four SF-36 domains (role-physical, general health, vitality, and role-emotional) did not differ between the two groups (p≥0.05, all). Following reduction mammaplasty, the proportion of patients experiencing pain, bra strap grooving, inframammary intertrigo, and difficulty participating in sports and finding properly fitting bras/clothing was significantly lower than at baseline (p<0.001, all), with postoperative rates similar to those seen in control subjects (p≥0.05, all). Both younger (<18 years, n=54) and older patients (≥18 years, n=48) had significant postoperative improvements in RSES and BRSQ scores. On the SF-36, only older patients experienced a benefit in the mental health subscale (p<0.001). When the macromastia group was stratified by BMI category, both healthyweighted (n=38) and overweight/obese patients (n=64) had significant postoperative improvements on the RSES and BRSQ, and six SF-36 domains. Unlike their healthyweighted counterparts, overweight/obese patients did not have improvements in SF-36 general health (p=0.65).