Medial Pedicle and Mastopexy Breast Reduction Workup

Updated: Mar 03, 2016
  • Author: John M Anastasatos, MD; Chief Editor: James Neal Long, MD, FACS  more...
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Workup

Laboratory Studies

The following basic laboratory studies are routinely ordered as part of the preoperative workup:

  • A CBC with a platelet count
  • Activated partial thromboplastin time (aPTT) and international normalized ratio (INR)
  • Basic metabolic profile
  • Serum pregnancy tests (These tests should be ordered even if the patient states she is not pregnant.)

Additional laboratory studies may be ordered depending on the history, physical examination, associated comorbidities, and overall health status of the patient.

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Imaging Studies

Imaging studies are not usually required. If any suspicious masses are found during the physical examination, the patient should be evaluated before surgery with ultrasonography and mammography, if needed. Women who have a strong family history of breast cancer or who are aged 35 years or older might undergo a preoperative mammogram to serve as a baseline.

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Histologic Findings

All dermoglandular tissue resected during the operation should be sent for histological evaluation.

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Staging

The Regnault classification is commonly used to describe the degree of ptosis.

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