OBJECTIVETo compare the complications of two kinds reduction mammaplasty (group A: central pedicle plus lateral incision; group B: double circle incision plus mesh) and analyse the reason of the complications to avoid or reduce their happening.

METHODSThe complications in 58 patients undergone reduction mammaplasty was investigated from August 2003 to May 2006. And the kind and rate of the complications with two methods was compared. The complications include: infection, hematoma, fat liquefaction, nipple necrosis, skin necrosis, hypertrophic scars, mesh pucker, asymmetry, inadequate reduction and so on.

RESULTSFollow-up study for 4 to 33 months, 7 in group A (36 cases) got complications; 6 in group B (19 cases) got complications.

CONCLUSIONSThe rate of complications in group B was higher than in group A. The complications in group A were related to destroyed blood supply, which was due to excess excision of tissue. The complications in group B were relate to the mesh, such as too hard, not smooth, too tight, thin skin covering and so on.