Additional benefits of reduction mammaplasty: a systematic review of the literature.

BACKGROUND: Reduction mammaplasty is commonly described with regard to its qualitative benefits. The authors sought to perform a systematic review of the literature focusing on functional outcomes after reduction mammaplasty with regard to physical and psychological symptom improvement, including weight-related effects, exercise, and eating behaviors, in addition to aesthetic outcomes.
METHODS: A systematic review of the English literature was performed using the PubMed database to evaluate outcomes following reduction mammaplasty from 1977 to 2010. Studies were chosen that addressed the physical and psychological benefits of reduction mammaplasty using a validated questionnaire.
RESULTS: Women who undergo reduction mammaplasty have a functional improvement in musculoskeletal pain, headaches, sleep, and breathing. Psychological benefits are vast and include improved self-esteem, sexual function, and quality of life, in addition to less anxiety and depression. After reduction mammaplasty, women appear to exercise more and have a reduction in eating disorders.
CONCLUSION: The authors present a comprehensive review of the literature with regard to the physical and emotional concerns women with macromastia experience and the broad benefits reduction mammaplasty could have for their daily functions and quality of life postoperatively. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.