Results following reduction mammoplasties. A comparison of selected surgical procedures

Lactation-retaining reducing mammoplasty was performed on 144 cases for macromastia, with 54 of them being carried out by the Biesenberger/Gelbke method and 90 according to the procedure by Str?mbeck. Complications due to wound healing disorders occurred only to eleven in 98 mammae (separate evaluation) treated by the Str?mbeck procedure but affected every second patient operated on by the Biesenberger/Gelbke method. In 14 patients postoperative capability of lactation was found to be unambiguously correlated with unimpaired wound healing. Postoperative pathological alterations in mammary glands may cause problems in differential diagnosis. Mitigation of clinico-somatic complaints was found to be obtainable from either surgical approach, depending on wound healing. Aesthetic results are the same.