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241 posters, 10 topics, 7 sessions, 899 authors, 296 institutions

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The AAPS 103rd Annual Meeting 2025

May 24-27, 2025 | Austin, Texas

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P42

Effect Of Marijuana Use On Outcomes In Patients Undergoing Reduction Mammaplasty: A Retrospective Cohort Study

Part of Topic

Outcomes

The Impact of Marijuana Use on Postoperative

Outcomes in Reduction Mammaplasty

 

  • Tetrahydrocannabinol may impact platelet function, inflammation, and wound healing1-2

  • Associated with impaired healing, increased pain, and infection in other surgical subspecialties2-4

  • Study aim was to evaluate association between marijuana use and complications in reduction mammaplasty

 
  • Single institution retrospective cohort study between 2019 – 2024

  • Included participants were >18y of age and had >2w follow up

  • Excluded participants who underwent oncologic or revision breast reduction

  • Bivariate and multivariable analysis on a “per breast” basis

 
 
  • 2.93 times increased odds of hematoma

  • THC reduces platelet aggregation5-7

  • Marijuana associated with endothelial dysfunction and vasodilation8-14

  • 1.99 times increased odds of delayed wound healing

  • THC impairs collagen synthesis and angiogenesis15-16

  • Cannabis exposure linked to fibroblast dysfunction and altered immune response17-19

 
  • Critical to counsel patients on the potentially negative effects of marijuana use in reduction mammaplasty

  • Consider marijuana cessation in the perioperativeperiod

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