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Corresponding Author

Nasr Atef Nasr Morsi Abuzaid

Document Type

Original Article

Abstract

Background: The goal of breast cosmetic surgery is to enhance the breast's features. Significant difficulties can arise from pathological alterations in women who have undergone cosmetic breast surgery.

Aim and objectives: To screen postoperative pathological findings by retrospective study and systematic review of literature trying to set up a guideline protocol for patient follow-up after aesthetic breast surgery.

Patients and methods: This study was conducted on 50 patients having aesthetic breast surgery in the Plastic Surgery Department Al-Azhar University Hospitals for a retrospective screening of postoperative pathological findings in the last five years (from 2018 to 2022). This systematic review included ten articles.

Result: According to demographic data, the mean age was 33.13±10.10, mean weight was 78.8±8.69, mean height was 164.9±7.56 and mean body mass index (kg/m2) was 29.00±2.93, 70% of patients were females while other were males. According to the nipple-areolar complex, the most common shape of the nipple is protruding, the most common Texture of the nipple is firm, and the most common colour of the breast is pink; 4% had discharge, while others did not. The postoperative follow-up period was assessed for 664 patients who were included in four studies, and the results showed an overall effect estimate (ES:0.25; 95% CI [0.11,0.38]) for the Breast Imaging-Reporting and Data System (BI-RADS) index.

Conclusion: There was evidence for pathological changes after aesthetic breast surgery in both genders. The most commonly performed aesthetic breast surgery among females was reduction mammoplasty and liposuction and disc delivery among males.

Keywords

Pathological changes screening; Aesthetic breast surgery; Reduction mammoplasty (RM); Autologous fat graft

Subject Area

Plastic surgery

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