Breast Reduction and SmokingSchumacher, Hagen H. A. MD, MRCSEdAnnals of Plastic Surgery: February 2005 - Volume 54 - Issue 2 - p 117-119 doi: 10.1097/01.sap.0000146878.14207.9d Original Article Buy Abstract In Brief Author InformationAuthors Article MetricsMetrics To investigate the influence of smoking on the occurrence of complications in patients undergoing breast reduction, a retrospective case note study was performed. Seventy-one patients who had 118 reduction mammoplasties between April 2001 and March 2002 were analyzed; 15.5% (11/71) of all patients suffered a complication. Ten complications were of infective nature. There was no case of partial or total nipple necrosis. Factors like past medical history, breast history, drug history, age, body weight, and resection weight did not influence the development of complications (P > 0.4, respectively). Smoking, however, was found to be a significant risk (P < 0.05). The risk to develop complications after reduction mammoplasty was calculated to be more than 3 times as high when compared with nonsmokers. A retrospective evaluation of 71 patients undergoing 118 reduction mammaplasties demonstrated that smokers had a greater than threefold increased risk of postoperative complications over nonsmokers. From the Department of Plastic and Reconstructive Surgery, Countess of Chester Hospital, Chester, United Kingdom. Received June 24, 2004 and accepted for publication, after revision, August 25, 2004. Reprints: Hagen Hans Armin Schumacher, MD, MRCSEd, 39 Westfield Road, Cambridge CB2 5JW, United Kingdom. E-mail: email@example.com. © 2005 Lippincott Williams & Wilkins, Inc.