A Matched Comparison of the Benefits of Breast Reduction on Health-Related Quality of Life

Elfanagely, Omar; Othman, Sammy; Rios-Diaz, Arturo J.; Cunning, Jessica R.; Whitely, Cutler; Butler, Paris D.; Fischer, John P.

doi:10.1097/prs.0000000000008312

Cited by 5 publications

(8 citation statements)

References 30 publications

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“…The results of our analysis demonstrate that overall, reduction mammoplasty affords improvements in all of the 4 primary QoL domains postoperatively when compared with preoperative scores. None of the individually selected studies indicated decreases in BREAST-Q scores after surgery, further substantiating the positive outcomes that patients consistently derive from this operation 26 . In addition, we highlight several associations between age, BMI, and individual preoperative and postoperative QoL measures.…”

Section: Discussionmentioning

confidence: 59%

“…None of the individually selected studies indicated decreases in BREAST-Q scores after surgery, further substantiating the positive outcomes that patients consistently derive from this operation. 26 In addition, we highlight several associations between age, BMI, and individual preoperative and postoperative QoL measures.…”

Section: Discussionmentioning

confidence: 93%

“…Reduction mammoplasty is becoming increasingly popular as knowledge of its many benefits becomes more widespread 26 . The current study leverages the BREAST-Q Reduction Module, a validated PRO instrument to quantify QoL and satisfaction in patients undergoing reduction mammoplasty.…”

Section: Discussionmentioning

confidence: 99%

“…Reduction mammoplasty is becoming increasingly popular as knowledge of its many benefits becomes more widespread. 26 The current study leverages the BREAST-Q Reduction Module, a validated PRO instrument to quantify QoL and satisfaction in patients undergoing reduction mammoplasty. The results of our analysis demonstrate that overall, reduction mammoplasty affords improvements in all of the 4 primary QoL domains postoperatively when compared with preoperative scores.…”

Section: Discussionmentioning

confidence: 99%

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A Systematic Review of the Impact of Patient Factors on BREAST-Q Outcomes After Reduction Mammoplasty

Liao¹,

Xia

Wang

et al. 2023

Ann Plast Surg

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Background As reduction mammoplasty rises in popularity, it will become increasingly important to understand the patient-reported outcome measurements associated with a successful operation. There has been a growing body of literature on BREAST-Q outcomes for patients undergoing reduction mammoplasty, but meta-analyses of patient factors and BREAST-Q Reduction Module scores are lacking. This study sought to ascertain which patient factors were associated with improvements in BREAST-Q scores compared with preoperative levels. Methods A literature review through August 6, 2021, was conducted using the PubMed database to select publications using the BREAST-Q questionnaire to evaluate outcomes after reduction mammoplasty. Studies examining breast reconstruction, breast augmentation, oncoplastic reduction, or breast cancer patients were excluded. BREAST-Q data were stratified by comorbidities, age, body mass index (BMI), complication rate, and resection weight. Results Among 14 articles and 1816 patients, the mean age ranged from 15.8 to 55 years, mean BMI ranged from 22.5 to 32.4 kg/m2, and bilateral mean resected weight ranged from 323 to 1845.96 g. Overall complication rate was 19.9%. On average, satisfaction with breasts improved by 52.1 ± 0.9 points (P < 0.0001), psychosocial well-being improved by 43.0 ± 1.0 points (P < 0.0001), sexual well-being improved by 38.2 ± 1.2 points (P < 0.0001), and physical well-being improved by 27.9 ± 0.8 points (P < 0.0001). The mean age was positively correlated with preoperative sexual well-being (Spearman rank correlation coefficient [SRCC]: 0.61, P < 0.05). Body mass index was negatively correlated with preoperative physical well-being (SRCC: −0.78, P < 0.01) and positively correlated with postoperative satisfaction with breasts (SRCC: 0.53, P < 0.05). The mean bilateral resected weight was significantly positively correlated with postoperative satisfaction with breasts (SRCC: 0.61, P < 0.05). No significant correlations were observed between complication rate and preoperative, postoperative, or mean change in BREAST-Q scores. Conclusions Reduction mammoplasty improves patient satisfaction and quality of life as reflected by the BREAST-Q. Although preoperative or postoperative BREAST-Q scores may be individually influenced by age and BMI, these variables demonstrated no statistically significant effect on the average change between these scores. This literature review suggests that reduction mammoplasty delivers high satisfaction across a diverse range of patient populations, and additional prospective cohort or comparative studies gathering robust data on other patient factors would benefit this area of research.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A Systematic Review of the Impact of Patient Factors on BREAST-Q Outcomes After Reduction Mammoplasty

Liao¹,

Xia

Wang

et al. 2023

Ann Plast Surg

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“…In this study, we merely tried to analyse the effect of our small but significant modification of preoperative markings on nipple height symmetry. Patient satisfaction after reduction mammoplasty is generally very high, [22][23][24][25] we do not dare to believe that our modification would make any significant difference. However, as plastic surgeons, we are committed to perfectionism and must perpetually try to improve even the smallest step towards the optimal result.…”

Section: Discussionmentioning

confidence: 92%

Improving symmetry of nipple–areola complex (NAC) position in reduction mammoplasty using laser level projection

Holzbach

Linder²,

Leitsch³

et al. 2023

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Outcomes of Extended Pedicle Technique vs Free Nipple Graft Reduction Mammoplasty for Patients With Gigantomastia

Talwar

Copeland-Halperin

Walsh

et al. 2022

Aesthetic Surgery Journal

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Background Optimal reduction mammoplasty techniques to treat patients with gigantomastia have been debated and can involve extended pedicles (EP) or free nipple grafts (FNG). Objectives We compared clinical, patient-reported, and aesthetic outcomes associated with reduction mammoplasty using EP vs. FNG. Methods A multi-institutional, retrospective study of adult patients with gigantomastia undergoing reduction mammoplasty at two tertiary care centers from 2017-2020 was performed. Gigantomastia was defined as reduction weight >1500 grams per breast or sternal notch-to-nipple distance ≥40 cm. Surgeons at one institution used EP technique, while those at the other used FNG. Baseline characteristics, preoperative and postoperative BREAST-Q, and clinical outcomes were collected. Aesthetic outcomes were assessed in 1:1 propensity score-matched cases across techniques. Preoperative and postoperative photographs were provided to reviewers across the academic plastic surgery continuum (students to faculty) and non-medical individuals to evaluate aesthetic outcomes. Results Fifty-two patients met inclusion criteria (21 FNG, 31 EP). FNG patients had a higher incidence of postoperative cellulitis (23% vs 0%, p < 0.05), but there were no other differences in surgical or medical complications. There were no differences in baseline BREAST-Q scores between groups. Postoperative BREAST-Q scores revealed greater satisfaction with the EP technique (p < 0.01). The aesthetic assessment of outcomes in 14 matched pairs of patients found significantly better aesthetic outcomes in all domains with the EP procedure (p < 0.05), independent of institution or surgical experience. Conclusions This multi-institutional study suggests that, compared with FNG, the EP technique for reduction mammoplasty provides superior clinical, patient-reported, and aesthetic outcomes for patients with gigantomastia.

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A Matched Comparison of the Benefits of Breast Reduction on Health-Related Quality of Life

Cited by 5 publications

References 30 publications

A Systematic Review of the Impact of Patient Factors on BREAST-Q Outcomes After Reduction Mammoplasty

A Systematic Review of the Impact of Patient Factors on BREAST-Q Outcomes After Reduction Mammoplasty

Improving symmetry of nipple–areola complex (NAC) position in reduction mammoplasty using laser level projection

Outcomes of Extended Pedicle Technique vs Free Nipple Graft Reduction Mammoplasty for Patients With Gigantomastia

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