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Sexuality in Aesthetic Breast Surgery



The breasts are important for a woman’s psychological well-being, which may be negatively affected by distortions of breast size and shape. Improvements in self-esteem and sexuality are important psychological factors associated with motivation for cosmetic surgery. Mammaplasty is among the most sought-after and performed cosmetic procedures. The aim of this study was to evaluate the impact of aesthetic breast surgery on a woman’s sexuality.


This study was conducted in a plastic surgery clinic of a hospital university in Brazil, between 2009 and 2012. Forty-six patients with hypomastia and 30 patients with breast hypertrophy, who expressed the desire for aesthetic breast surgery, were selected for the study. The patients were assessed preoperatively and 6 months postoperatively using the sexual quotient-Female version scale (QS-F). The QS-F is a validated Brazilian questionnaire to assess sexual function. It contains ten items covering five domains of female sexual function: desire and interest, foreplay, excitement and harmony, comfort, and orgasm and satisfaction. Higher QS-F scores indicate better sexual functioning.


There was a significant increase in the mean total QS-F score after surgery in both groups (p < 0.001). No significant improvement in desire and comfort was reported by patients who underwent breast augmentation and in comfort by patients who underwent breast reduction. Improvement in sexuality after surgery was observed in both groups, which is consistent with the literature.


Aesthetic breast surgery has a positive impact on the sexuality of patients.

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Corresponding author

Correspondence to Paulo Afonso Monteiro Pacheco Guimarães.

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The authors declare that they have no conflicts of interest to disclose.

Ethical approval

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments.

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Guimarães, P.A.M.P., Resende, V.C.L., Sabino Neto, M. et al. Sexuality in Aesthetic Breast Surgery. Aesth Plast Surg 39, 993–999 (2015).

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  • Plastic surgery
  • Breast
  • Mammaplasty
  • Sexuality
  • Sexual health
  • Quality of life