Editing Breast reduction (section)

===Complications===

The post-operative complications occurred include [[seroma]], [[wound dehiscence]], [[Breast hematoma|hematoma]]; partial NAC [[necrosis]] occurred in 10 % of the reduced breasts, but, after refinement of the Lejour technique, the study ''Vertical Mammaplasty: Early Complications After 250 Personal Consecutive Cases'' (1999) reported a reduced incidence rate of 7.0 percent in the 324 breast reductions performed in 167 patients.<ref>{{cite journal |last1=Lejour |first1=Madeleine |title=Vertical mammaplasty: early complications after 250 personal consecutive cases |journal=Plastic and Reconstructive Surgery |volume=104 |issue=3 |pages=764–70 |year=1999 |pmid=10456529 |doi=10.1097/00006534-199909030-00023}}</ref> Moreover, the incidence of such post-operative complications is greater among the patients whose breasts required large-volume resection of the [[parenchyma]]; in patients who were [[Obesity|obese]]; in patients who were [[Tobacco smoking|tobacco smokers]]; and in young patients.<ref>{{cite journal |last1=Cunningham |first1=Bruce L. |last2=Gear |first2=Andrew J. L. |last3=Kerrigan |first3=Carolyn L. |last4=Collins |first4=E Dale |title=Analysis of Breast Reduction Complications Derived from the BRAVO Study |journal=Plastic and Reconstructive Surgery |volume=115 |issue=6 |pages=1597–604 |year=2005 |pmid=15861063 |doi=10.1097/01.PRS.0000160695.33457.DB |s2cid=21225036 }}</ref><ref>{{cite journal |last1=Schumacher |first1=Hagen H. A. |title=Breast reduction and smoking |journal=Annals of Plastic Surgery |volume=54 |issue=2 |pages=117–9 |year=2005 |pmid=15655457 |doi=10.1097/01.sap.0000146878.14207.9d|s2cid=6804396 }}</ref> Furthermore, wound dehiscence, epidermolysis, [[adipose tissue]] necrosis, and [[infection]] occur less among patients who undergo Lejour-technique breast reduction than among patients who undergo a periareolar, anchor pattern breast-reduction, or an inferior-pedicle breast reduction, however complication rates are significantly higher rate when the body mass index is greater than 30 kg/m.<ref>{{cite journal | title= A comparison of the LeJour and Wise pattern methods of breast reduction | author= Kreithen J, Caffee H, Rosenberg J, Chin G, Clayman M, Lawson M, Seagle MB | journal= Ann Plast Surg |date=June 2005 | volume=54 | issue=3 | pages=236-41 | pmid=15725821  }}</ref> Nonetheless, bottom-edge asymmetry occurs more among Lejour-technique patients; the revision surgery rates can be up to 10 percent. Moreover, the liposuctioning of the breast does not increase the rate of local medical complications; decreased NAC sensitivity occurs in 10 percent of patients, and total NAC insensitivity occurs in 1.0 per cent of women.<ref>{{cite journal |last1=Hofmann |first1=Albert K. |last2=Wuestner-Hofmann |first2=Margot C. |last3=Bassetto |first3=Franco |last4=Scarpa |first4=Carlotta |last5=Mazzoleni |first5=Francesco |title=Breast Reduction: Modified 'Lejour Technique' in 500 Large Breasts |journal=Plastic and Reconstructive Surgery |volume=120 |issue=5 |pages=1095–104; discussion 1105–7 |year=2007 |pmid=17898581 |doi=10.1097/01.prs.0000279150.85155.1e |s2cid=40909810 |hdl=11577/2466097 |hdl-access=free }}</ref>