NPWT Reduction Mammaplasty

Eligibility Criteria

• * Female patients
• * Age 18 years or older
• * Scheduled to undergo bilateral reduction mammaplasty with a Wise pattern (anchor) incision and a superomedial, inferior, or central mound pedicle at MedStar Georgetown University Hospital or MedStar Good Samaritan Hospital
• * Able to comply with study procedures and follow-up visits
• * Younger than 18 years of age
• * Biologically male patients
• * Scheduled to undergo unilateral breast mammaplasty
• * Currently pregnant or lactating
• * Use of steroids or other immune modulators known to affect wound healing
• * Current smokers who have not paused for a minimum of 4 weeks prior to surgery
• * History of breast cancer
• * History of oncologic or reconstructive breast surgery
• * History of radiation to the breast
• * History of chemotherapy or hormone therapy
• * Tattoos in the area of skin incision
• * Skin conditions known to affect wound healing or scarring of the breast (e.g., cutis laxa)
• * Significant history of scar problems (e.g., hypertrophic scarring or keloids) post-surgical incisions with active bleeding
• * Exposure of blood vessels, organs, bone, or tendon at the base of the reference wound
• * Known allergies to product components (e.g., medical or NPWT tape)
• * Unable to comply with NPWT requirements, including those unable to present for postoperative follow-up
• * Lactating at the time of surgery
• * Require deviation from standard operative or closure techniques (e.g., staples, free nipple grafts)
• * Considered part of a vulnerable population (adults unable to consent, infants, children, teenagers, pregnant women, prisoners)
• * Experience intraoperative complications due to surgical complications not related to the NPWT instrumentation (e.g., expanding hematoma)