Quality of Life Following Symptomatic Macromastia Surgery: Short- and Long-term Evaluation

Pérez-Panzano, Esther; Güemes-Sánchez, Antonio; Gascón-Catalán, Ana

doi:10.1111/tbj.12589

Cited by 24 publications

(23 citation statements)

References 46 publications

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“…The quality of life of women with large breasts undergoing reduction mammoplasty has been well researched. 16,17,21,23,[53][54][55] In women other than those with very large or hypertrophic breasts seeking reduction mammoplasty, there has been no direct examination of quality of life against differences in breast size. Our findings show that mature-aged women with larger breasts have significantly lower quality of life measured by both generic and breast-related measures.…”

Section: Discussionmentioning

confidence: 99%

“…Increased breast size has previously been related to reduced health and psychological wellbeing in studies of women undergoing reduction mammoplasty surgery where a range of negative physical 12–14 and psychological characteristics 13–22 have been attributed to having large or excessively large (hypertrophic) breasts. Characteristics that have been most widely examined and which show improvement following reduction mammoplasty include low quality of life, 16,17,19,21,23 body dissatisfaction, 15 low breast satisfaction, 16,19,24 depression, 18,20 upper back pain 14,25 and physical activity limitations. 25 The work undertaken in surgical studies suggests that these characteristics could be measurable aspects of health and psychological wellbeing related to larger breast sizes.…”

Section: Introductionmentioning

confidence: 99%

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The relationship between breast size and aspects of health and psychological wellbeing in mature-aged women

Spencer

Fary

McKenna

et al. 2020

Womens Health (Lond Engl)

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Objectives: Increases in breast size with age are common but have not been widely examined as a factor that could affect the health and psychological wellbeing of mature-aged women. The purpose of this study was to examine the relationships between breast size and aspects of health and psychological wellbeing in mature-aged women. Methods: This was a cross-sectional study of mature-aged women (⩾40 years). Breast size (breast size score) was determined from self-reported bra size and was examined against health-related quality of life (Medical Outcomes Study Short-Form 36 and BREAST-Q), body satisfaction (numerical rating scale), breast satisfaction (BREAST-Q), physical activity levels (Human Activity Profile), the presence of upper back pain and breast and bra fit perceptions. Results: Two hundred sixty-nine women (40–85 years) with bra band sizes ranging from 8 to 26 and bra cup sizes from A to HH participated. The mean (standard deviation) breast size score of 7.7 (2.7) was equivalent to a bra size of 14DD. Increasing breast size was associated with significantly lower breast-related physical wellbeing ( p < 0.001, R2 = 0.043) and lower ratings of body ( p = 0.002, R2 = 0.024) and breast satisfaction ( p < 0.001, R2 = 0.065). Women with larger breasts were more likely to be embarrassed by their breasts (odds ratio: 1.49, 95% confidence interval: 1.31 to 1.70); more likely to desire a change in their breasts (odds ratio: 1.55, 95% confidence interval: 1.37 to 1.75) and less likely to be satisfied with their bra fit (odds ratio: 0.84, 95% confidence interval: 0.76 to 0.92). Breast size in addition to age contributed to explaining upper back pain. For each one-size increase in breast size score, women were 13% more likely to report the presence of upper back pain. Conclusion: Larger breast sizes have a small but significant negative relationship with breast-related physical wellbeing, body and breast satisfaction. Larger breasts are associated with a greater likelihood of upper back pain. Clinicians considering ways to improve the health and psychological wellbeing of mature-aged women should be aware of these relationships.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The relationship between breast size and aspects of health and psychological wellbeing in mature-aged women

Spencer

Fary

McKenna

et al. 2020

Womens Health (Lond Engl)

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“…The loss of health-related quality of life (HRQoL) associated with symptomatic breast hypertrophy is well documented (1)(2)(3). Reduction mammoplasty (RM) is commonly performed to both reduce breast weight and volume and reposition the breasts, which improves the HRQoL of the patient.…”

Section: Introductionmentioning

confidence: 99%

“…Because of conflicting evidence, however, the association between BMI and surgical complications should be further investigated. Here, we aimed (1) to assess the incidence of minor and major complications after RM and (2) to identify risk factors, especially the role of increased BMI, contributing to such complications.…”

Section: Introductionmentioning

confidence: 99%

Overweight is Associated With Increased Incidence of Minor Complications After Reduction Mammoplasty: A Retrospective Analysis of 453 Consecutive Cases

2018

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“…Socially, women with breast hypertrophy try to avoid social occasions because of their feeling of being insecure regarding their bodies; therefore,5 they tend to have more sedentary lifestyles. 6 These concerns impact life quality leading to depression and anxiety problems. 1 Life quality in women with breast hypertrophy is impaired, making them seek a solution to improve well-being.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Breast Reduction on Kurdish Women’s Health

2021

Proceedings of the Second Scientific Conference on Women's Health

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Background and objectives: Breast hypertrophy can cause a wide range of symptoms and affect the lifestyle and quality of life. The most common physical complaints include neck and upper back pain, shoulder pain, headache, painful shoulder grooves, low back pain, intertrigo of the inframammary crease, mastalgia, poor posture, and difficulty exercising. The cosmetic and psychological impacts of macromastia include being unable to find fitting clothes and low self-esteem. Breast reduction is the most effective treatment to improve these complaints, Methods: This prospective study was performed on 108 patients with breast hypertrophy associated with various physical signs and symptoms that affected the quality of life and the psychological state of the patients. Reduction mammoplasty was done for these patients using a different kind of techniques. Demographic data, specific symptoms questionnaire, data from the surgical procedure, and complications were recorded and collected before the operation and three months and one year later. Results: A hundred and eight patients with breast hypertrophy were treated surgically by reduction mammoplasty using different types of inverted T techniques from October 2008-September 2019. The mean age of patients was 38.6 (13-59 years). All patients are satisfied and described significant improvements in the symptoms and selfbody image. Postoperative complications include asymmetry (11patients), infection (2 patients), and poor scarring (6 patients). Conclusions: Breast reduction is highly efficient in resolving symptoms and in improving health-related quality of life. It leads to a high level of satisfaction and improvement of the patient's physical and psychosocial well-being.

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Quality of Life Following Symptomatic Macromastia Surgery: Short- and Long-term Evaluation

Abstract: Breast reduction is highly efficient in resolving symptoms and in improving quality of life. It leads to a high level of short- and long-term satisfaction irrespective of each patient's individual characteristics.

Cited by 24 publications

References 46 publications

The relationship between breast size and aspects of health and psychological wellbeing in mature-aged women

The relationship between breast size and aspects of health and psychological wellbeing in mature-aged women

Overweight is Associated With Increased Incidence of Minor Complications After Reduction Mammoplasty: A Retrospective Analysis of 453 Consecutive Cases

The Impact of Breast Reduction on Kurdish Women’s Health

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