Document Type

Abstract

Publication Date

2-11-2026

Academic Year

2025-2026

Comments

Presented at the 2026 Scholarly Inquiry (SI) Research Project Symposium.

Abstract

Introduction: The impact of and neighborhood socioeconomic factors on surgical outcomes in reduction mammoplasty remains unclear. This study evaluated the effect of area deprivation index (ADI) and insurance status on postoperative outcomes following reduction mammoplasty.

Methods: A retrospective review of reduction mammoplasty cases was conducted at a single institution over a 7-year period. Patients ≥18 years old who underwent reduction mammoplasty for benign macromastia were included. Zip-code linked ADI, insurance type, and postoperative complication rate were assessed.

Results: In total, 594 patients were analyzed. Mean age was 36.2 ± 13.1 years, mean body mass index (BMI) was 32.6 ± 5.2 kg/m². The majority identified as Black (65%) while 33% used Medicaid. Patients in higher ADI quartiles were more likely to identify as Black, have higher BMI, and use Medicaid. Minor complication rate was 35.9%, with wound healing complications (23.4%) being most common. In adjusted multivariable analysis, Medicaid (OR: 2.39, CI: 1.56- 3.68, p< 0.001) and higher BMI category were associated with increased odds of developing a minor complication. Black race was associated with decreased odds (OR: 0.42, CI: 0.24-0.71, p=0.002). ADI quartile was not associated with complication rate.

Conclusion: Higher BMI and Medicaid status were independently associated with increased risk of minor complications following reduction mammoplasty, while Black race was associated with lower odds. ADI was not associated with risk of postoperative complications, suggesting that disparities in reduction mammoplasty outcomes may reflect insurance status differences rather than neighborhood factors.

Additional Files
Chan_Teresa_poster.pdf (654 kB)

Language

English

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