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Plast Reconstr Surg. 2012 Jul;130(1):218-23. doi: 10.1097/PRS.0b013e318254b3bc.

The magnitude of effect of cosmetic breast augmentation on patient satisfaction and health-related quality of life.

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1
Memorial Sloan-Kettering Cancer Center, New York, NY, USA.

Abstract

BACKGROUND:

The objective of this study was to gain a better understanding of the magnitude of clinical change in health-related quality of life and patient satisfaction brought about by cosmetic breast augmentation.

METHODS:

A prospective, longitudinal study was performed. Women undergoing cosmetic breast augmentation were asked to complete the BREAST-Q Augmentation module both before and after augmentation. Before and after group-level comparisons included paired t tests and effect size statistics. The responsiveness of the BREAST-Q scales was also compared at the individual person level by computing, for each and every person, the significance of her own change in measurement.

RESULTS:

A total of 41 patients completed the BREAST-Q before and after augmentation. Patients reported that "satisfaction with breasts," "psychosocial well-being," and "sexual well-being" were significantly higher following augmentation compared with preoperative levels (p = 0.00, p = 0.00, and p = 0.00, respectively). These statistically significant change scores were associated with large effect sizes (d = 2.4, 1.7, and 1.9, respectively). Significant improvements in satisfaction with breasts, psychosocial well-being, and sexual functioning were seen in 38 (83 percent), 36 (88 percent), and 33 (81 percent) of individuals, respectively.

CONCLUSIONS:

These findings suggest that the BREAST-Q Augmentation module detected significant benefits of breast augmentation surgery, as assessed by both group-level and individual-level responsiveness indices. Importantly, this finding strongly supports the hypothesis that cosmetic breast augmentation can have a significant and profound positive impact on a woman's satisfaction with her breasts and her psychosocial and sexual well-being.

CLINICAL QUESTION/LEVEL OF EVIDENCE:

Therapeutic, IV.

PMID:
22743886
DOI:
10.1097/PRS.0b013e318254b3bc
[Indexed for MEDLINE]

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