Format

Send to

Choose Destination
Plast Reconstr Surg. 2014 Apr;133(4):787-95. doi: 10.1097/PRS.0000000000000023.

Understanding the effect of breast augmentation on quality of life: prospective analysis using the BREAST-Q.

Author information

1
Atlanta, Ga.; Ann Arbor, Mich.; and New York, N.Y. From private practice; University of Michigan; and Memorial Sloan-Kettering Cancer Center.

Abstract

BACKGROUND:

The aim of this study was to prospectively evaluate patient satisfaction and quality of life with elective breast augmentation.

METHODS:

Patients with bilateral submuscular breast augmentations prospectively completed the BREAST-Q preoperatively and 6 weeks and 6 months postoperatively; t tests compared preoperative and postoperative scores at 6 weeks and 6 months, and standard indicators of effect sizes were calculated. Logistic regression was used to evaluate the association between patient and surgical factors on satisfaction outcomes.

RESULTS:

The study sample included 611 female patients with the following characteristics: (1) mean age of 33.5 years; (2) mean body mass index of 21.7; (3) and mean implant volume of 360; with (4) 73 percent having received a silicone implant. Significant improvements were found in patient satisfaction with breasts (p < 0.001), psychosocial well-being (p < 0.001), and sexual well-being (p < 0.001) at 6 weeks and 6 months postoperatively, and all were associated with a very large Kazis effect size of 3.66, 2.39, and 2.56 at 6 months, respectively. However, at both 6 weeks and 6 months postoperatively, physical well-being remained significantly below preoperative baseline scores. In addition, satisfaction with breasts and with the overall surgical experience was significantly lower among older patients (p = 0.01 and 0.02, respectively).

CONCLUSIONS:

Breast augmentation is associated with high patient satisfaction and significant improvements in quality of life. However, physicians should inform patients that submuscular augmentations are associated with a delay in recovery of physical functioning and be aware that older patients may experience diminished satisfaction and should counsel accordingly.

CLINICAL QUESTION/LEVEL OF EVIDENCE:

Therapeutic, IV.

PMID:
24675184
DOI:
10.1097/PRS.0000000000000023
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wolters Kluwer
Loading ...
Support Center