Abstract
Introduction
BREAST-Q™ is a patient-reported outcomes survey instrument with a specific module that evaluates breast reduction surgery. It allows assessment of patient’s satisfaction with received treatment and evaluates the impact of surgery on different aspects of the patient’s quality of life. This article aims to assess the satisfaction and quality of life of patients who underwent reduction mammaplasty.
Materials and Methods
Women aged between 18 and 60 years, with a body mass index ranging from 19 to 30 kg/m2, who were already scheduled for reduction mammaplasty, were included in the study. The Brazilian version of the BREAST-Q™ Reduction/Mastopexy Module (preoperative 1.0 and postoperative 1.0 versions) was self-applied preoperatively and 1 and 6 months after the operation.
Results
One hundred and seven patients were included in the study and completed the 6-month follow-up. The median age was 33 years, and the median preoperative body mass index was 25 kg/m2. The superomedial pedicle was used in 96.3% of the cases, and the total median weight of the resected breast was 1115 g. There was a significant improvement in the scores of the scales: Psychosocial well-being, Sexual well-being, Physical well-being, and Satisfaction with the breasts compared to the preoperative assessment (p < 0.0001). The scales Satisfaction with the NAC and Satisfaction with the outcome, available only in the postoperative version, demonstrated high satisfaction rates at the two postoperative periods evaluated.
Conclusion
Reduction mammaplasty improved the quality of life and provided high levels of patient satisfaction with outcomes 1 and 6 months postoperatively.
Level of Evidence IV
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Acknowledgements
Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG), Brazil, provided a scientific initiation scholarship for RNS, which allowed her participation in the study.
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Author Contributions
IVC and DFV conceived the study and participated in study design, surgical procedures, and manuscript draft. ESG, RNS, JVF and NLLP participated in surgical procedures and patients’ follow-up, and contributed to acquisition and interpretation of data. YJ participated in the analysis and interpretation of data. LMF participated in the design and coordination of the study. All authors read and approved the final version of the manuscript.
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All the authors state no conflicts of interest.
Ethical Approval
The Ethical Committee of the Universidade do Vale do Sapucaí has reviewed and approved the study protocol (protocol number CAEE30798114.3.0000.5102).
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Cabral, I.V., da Silva Garcia, E., Sobrinho, R.N. et al. Use of the BREAST-Q™ Survey in the Prospective Evaluation of Reduction Mammaplasty Outcomes. Aesth Plast Surg 42, 388–395 (2018). https://doi.org/10.1007/s00266-017-1009-6
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DOI: https://doi.org/10.1007/s00266-017-1009-6