Abstract
Objective
The primary objective of this study was to determine the long-term satisfaction levels of women who have undergone breast augmentation and augmentation mastopexy procedures, while identifying the factors influencing patient satisfaction.
Methods
A self-reported retrospective case study design was used to collect data from women with breast implants. The study employed a survey that included demographic information, preoperative diagnosis, implant details, and patient-reported outcomes measured using the Breast-Q Instrument, which evaluates satisfaction with breasts, self-esteem, sexual well-being, and physical symptoms. Statistical analyses were conducted to identify correlations and differences in outcomes between the different variables.
Results
The survey was completed by 1022 women from 19 countries, with Chile, Mexico, and Colombia being the most represented. Augmentation was performed on 72.2% of the patients, while 27.7% underwent augmentation mastopexy. Patient satisfaction with breast size and shape varied significantly between the two procedures, with patients undergoing augmentation mastopexy showing less satisfaction. In addition, patients who were unaware of their implant shape or placement reported lower satisfaction scores. The study also found that patient satisfaction decreased over time in the augmentation mastopexy cases and that patients with high body mass index had lower satisfaction.
Conclusion
Augmentation mastopexy in patients with breast ptosis yields lower satisfaction than augmentation alone. Dissatisfaction escalates with overweight/obesity (BMI), post-surgery time, and misinformation. Implant pocket (pre-vs. subpectoral), shape (round vs. anatomical), and size did not impact satisfaction.
Level of Evidence III
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References
Mccarthy CM, Cano SJ, Klassen AF et al (2012) The magnitude of effect of cosmetic breast augmentation on patient satisfaction and health-related quality of life. Plast Reconstr Surg 130(1):218–223. https://doi.org/10.1097/PRS.0b013e318254b3bc
Ng S, Kirkman M, Fisher J et al (2019) Establishing the acceptability of a brief patient reported outcome measure and feasibility of implementing it in a breast device registry—a qualitative study. J Patient Rep Outcomes. https://doi.org/10.1186/s41687-019-0152-z
Masoumi E, Seow C, Deva AP et al (2023) Prospective study of clinical outcomes from a breast implant assessment service. Aesthet Surg J 43(3):308–314. https://doi.org/10.1093/asj/sjac266
Oranges CM, Schaefer KM, Haug M, Schaefer DJ (2016) The impact of aesthetic surgery on body image and its implications for mental and physical health. Aesthet Surg J 36(8):NP256–NP258. https://doi.org/10.1093/asj/sjw066
Pusic AL, Klassen AF, Snell L et al (2012) Measuring and managing patient expectations for breast reconstruction: impact on quality of life and patient satisfaction. Expert Rev Pharmacoecon Outcomes Res 12(2):149–158. https://doi.org/10.1586/erp.11.105
Jayasinghe RT, Ruseckaite R, Gartoulla P, Elder E, Hopper I (2022) Patient reported outcome measures after breast augmentation—using the BREAST-Q IS. Patient Relat Outcome Meas. 13:1–8. https://doi.org/10.2147/prom.s330163
Atisha D, Alderman AK, Lowery JC, Kuhn LE, Davis J, Wilkins EG (2008) Prospective analysis of long-term psychosocial outcomes in breast reconstruction: two-year postoperative results from the Michigan breast reconstruction outcomes study. Ann Surg 247(6):1019–1028. https://doi.org/10.1097/SLA.0b013e3181728a5c
Guimarães PAMP, Resende VCL, Sabino Neto M et al (2015) Sexuality in aesthetic breast surgery. Aesthet Plast Surg 39(6):993–999. https://doi.org/10.1007/s00266-015-0574-9
Wojtkowska A, Zaborski D, Modrzejewski A, Pastucha M (2022) The effect of cosmetic surgery on mental self-image and life satisfaction in women undergoing breast augmentation: an intermediate role of evaluating the surgery as one of the most important life events. J Plast Reconstr Aesthet Surg 75(6):1842–1848. https://doi.org/10.1016/j.bjps.2022.01.018
Suijker J, Troncoso E, Pizarro F et al (2018) Long-term quality-of-life outcomes after body contouring surgery: phase IV results for the body-QoL ® Cohort. Aesthet Surg J 38(3):279–288. https://doi.org/10.1093/asj/sjx090
Alderman AK, Kuhn LE, Lowery JC, Wilkins EG (2007) Does patient satisfaction with breast reconstruction change over time? Two-year results of the Michigan breast reconstruction outcomes study. J Am Coll Surg 204(1):7–12. https://doi.org/10.1016/j.jamcollsurg.2006.09.022
Alderman AK, Bauer J, Fardo D, Abrahamse P, Pusic A (2014) Understanding the effect of breast augmentation on quality of life. Plast Reconstr Surg 133(4):787–795. https://doi.org/10.1097/prs.0000000000000023
Coombs DM, Grover R, Prassinos A, Gurunluoglu R (2019) Breast augmentation surgery: clinical considerations. Cleve Clin J Med 86(2):111–122. https://doi.org/10.3949/ccjm.86a.18017
Pferdehirt R, Nahabedian MY (2021) Finesse in mastopexy and augmentation mastopexy. Plast Reconstr Surg. https://doi.org/10.1097/PRS.0000000000008303
Banbury J, Yetman R, Lucas A, Papay F, Graves K, Zins JE (2004) Prospective analysis of the outcome of subpectoral breast augmentation: sensory changes, muscle function, and body image. Plast Reconstr Surg 113(2):701–707. https://doi.org/10.1097/01.PRS.0000101503.94322.C6
Le N, Persing S (2021) A comparison of BREAST-Q scores between prepectoral and subpectoral direct-to-implant breast reconstruction. Plast Reconstr Surg. https://doi.org/10.1097/PRS.0000000000008410
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Danilla, S., Cayupán, C., Cala, L. et al. Long-Term Satisfaction with Breast Augmentation and Augmentation Mastopexy in the Latin American Population. Aesth Plast Surg (2024). https://doi.org/10.1007/s00266-024-03900-x
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DOI: https://doi.org/10.1007/s00266-024-03900-x