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They stated that in the light of these findings, contralateral reduction mammoplasty with histopathological evaluation in breast cancer patients offered a sophisticated tool to catch those patients whose contralateral breast needs increased attention. 01/04/2023 ol.numberedList LI { Behmand et al (2000) reported on the results of a questionnaire pre- and post-surgery in 69 subjects from a single practice who underwent reduction mammoplasty. Obstet Gynecol Clin North Am. Breast J. Several of the included studies reported improvement in QOL and several psychological domains after surgical treatment for gynecomastia. In a systematic review, Prasetyono and colleagues (2021) examined the quality of studies and re-visited liposuction-assisted gynecomastia surgery performed via minimal incision. With the majority of BBRs performed as an inpatient procedure, there was a trend towards less drain usage in surgeons performing this procedure as an out-patient; however, this was not statistically significant (p = 0.07). Devalia HL, Layer GT. Gynecomastia: Evolving paradigm of management and comparison of techniques. outline: none; 2021;74(11):3128-3140. 2007;356(5):479-485. Kerrigan CL, Collins ED, Kneeland TS, et al. Determinants of surgical site infection after breast surgery. Clinical Policy: Reduction Mammoplasty and Gynecomastia Surgery - WellCare position: fixed; Med Decis Making. Aetna considers molecular susceptibility testing for breast and/or epithelial ovarian cancer ("BRCA testing") medically necessary once per lifetime in any of the following categories of high-risk adults with breast or epithelial ovarian cancer (adapted from guidelines from the U.S. Preventive Services Task Force (for The authors concluded that the limited evidence available showed no significant benefit of using post-operative wound drains in reduction mammoplasty, although LOS may be shorter when drains are not used. The investigators found little difference between obese and non-obese women concerning patient's reports of resolution of symptoms and improvement in body image. Based largely upon these results, Nguyen et al (2004) reached the conclusion that a trial of conservative management is not an appropriate criterion for insurance coverage, even though responses to the BRAVO questionnaire indicated that operative candidates and hypertrophy controls received at least some pain relief from all of the conservative interventions, and for some conservative interventions, virtually all subjects reported at least some pain relief. Ann Chir Plast Esthet. of . Early complications were rare (6.1%), with superficial skin and soft tissue infections accounting for 45.8% of complications. list-style-type: lower-roman; The investigators reported that subjects who were of normal weight were as likely to report benefit from reduction mammoplasty as subjects who were over-weight.