Breast Reduction Improves Symptoms of Macromastia and Has a Long-Lasting Effect

Brühlmann, Y; Tschopp, H

doi:10.1097/00000637-199809000-00003

Cited by 55 publications

(21 citation statements)

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“…Some studies of the results of reduction mammaplasty have been published, but these were retrospective (3,5,10,13,21) and used different surgical techniques and methods of evaluation. We could find few prospective studies that evaluated the results of reduction mammaplasty through standardised questionnaires, such as the SF-36 (1,11,17,22,23).…”

Section: Accepted 10 July 2003mentioning

confidence: 99%

Quality of life after reduction mammaplasty

Freire

Neto

Garcia

et al. 2004

Scandinavian Journal of Plastic and Reconstructive Surgery and

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Reduction mammaplasty is a common procedure in plastic surgery. Patients seek the operation for neck and lower back pain, and social and emotional problems. The evaluation of health results based on the patient's opinion has become an important and reliable method for the analysis of alterations resulting from treatment. To evaluate the impact of plastic surgery on the quality of life of patients with mammary hypertrophy we used the SF-36 standardised questionnaire in a prospective study of 44 patients preoperatively and three and six months postoperatively. There were significant improvements in seven of the eight aspects of the SF-36 (physical function, physical role, pain, energy, social function, emotional role, and mental health). Only general health was unchanged.

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Section: Accepted 10 July 2003mentioning

confidence: 99%

Quality of life after reduction mammaplasty

Freire

Neto

Garcia

et al. 2004

Scandinavian Journal of Plastic and Reconstructive Surgery and

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“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14] Although macromastia often develops during adolescence, 15 the impact of macromastia on overall health-related quality of life (HRQOL) in this age group is unknown. Reduction mammaplasty, surgical reduction of breast size, is the most effective means of improving symptoms and HRQOL in adults.…”

mentioning

confidence: 99%

“…Reduction mammaplasty, surgical reduction of breast size, is the most effective means of improving symptoms and HRQOL in adults. 2,4,[6][7][8]13,14,[16][17][18][19][20][21][22][23][24][25] However, many parents and physicians are reluctant to consider surgical correction for adolescents. 26,27 Data on the impact of macromastia on younger patients are needed to better inform health care providers, patients, and families in making appropriate treatment decisions.…”

mentioning

confidence: 99%

The Impact of Macromastia on Adolescents: A Cross-Sectional Study

Cerrato

Webb²,

Rosen³

et al. 2012

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: Macromastia is associated with severe physical and emotional symptoms and negatively impacts health-related quality of life in adult women. Reduction mammaplasty is the most effective treatment for adults. Little is known regarding the impact of macromastia during adolescence.WHAT THIS STUDY ADDS: Adolescents with macromastia have impaired health-related quality of life, lower self-esteem, more breastrelated symptoms, and are at higher risk for disordered eating in comparison with their peers. These negative health outcomes have implications for early intervention in this patient population. abstract OBJECTIVE: To determine the physical and psychosocial impact of macromastia on adolescents considering reduction mammaplasty in comparison with healthy adolescents. METHODS:The following surveys were administered to adolescents with macromastia and control subjects, aged 12 to 21 years: ShortForm 36v2, Rosenberg Self-Esteem Scale, Breast-Related Symptoms Questionnaire, and Eating-Attitudes Test-26 (EAT-26). Demographic variables and self-reported breast symptoms were compared between the 2 groups. Linear regression models, unadjusted and adjusted for BMI category (normal weight, overweight, obese), were fit to determine the effect of case status on survey score. Odds ratios for the risk of disordered eating behaviors (EAT-26 score $20) in cases versus controls were also determined. RESULTS:Ninety-six subjects with macromastia and 103 control subjects participated in this study. Age was similar between groups, but subjects with macromastia had a higher BMI (P = .02). Adolescents with macromastia had lower Short-Form 36v2 domain, Rosenberg Self-Esteem Scale, and Breast-Related Symptoms Questionnaire scores and higher EAT-26 scores compared with controls. Macromastia was also associated with a higher risk of disordered eating behaviors. In almost all cases, the impact of macromastia was independent of BMI category.CONCLUSIONS: Macromastia has a substantial negative impact on health-related quality of life, self-esteem, physical symptoms, and eating behaviors in adolescents with this condition. These observations were largely independent of BMI category. Health care providers should be aware of these important negative health outcomes that are associated with macromastia and consider early evaluation for adolescents with this condition. Pediatrics 2012;130:e339-e346 AUTHORS:

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“…There is a general consensus that macromastia causes important functional problems [10], including shoulder, lumbar, and neck pain [7,11], intertrigo [12], shoulder/bra strap grooving [11], and decreased physical performance [13]. Additionally, brachial plexus compression resulting in paresthesia of the hand and breathing disorders have been reported [3,4,7,[14][15][16].…”

Section: Discussionmentioning

confidence: 99%