Reduction mammaplasty was shown to ameliorate physical and psychological problems in adolescents suffering from macromastia.

However, benefits of the Wise compared to the vertical incision pattern have not yet been established in this population.

The aim of this study is to compare the outcomes of these 2 techniques in adolescents undergoing reduction mammaplasty.

A retrospective study of adolescents undergoing breast reduction by a single surgeon between 2011 and 2017 was conducted.

Wise and vertical reduction techniques were compared based on demographics, surgical outcomes, patient satisfaction, and aesthetic outcomes.

Patient satisfaction was determined using the validated BREAST-Q survey, and aesthetic outcomes using the validated ABNSW system.