Quality of life and satisfaction after breast augmentation: A systematic review and meta-analysis of Breast-Q patient-reported outcomes.
J Plast Reconstr Aesthet Surg
; 95: 300-318, 2024 Aug.
Article
in En
| MEDLINE
| ID: mdl-38945110
ABSTRACT
BACKGROUND:
Breast augmentation ranks among the most popular plastic surgery procedures. Yet, reports on post-operative patient-reported quality of life (QoL) and satisfaction remain conflicting.METHODS:
A systematic review was conducted following the PRISMA guidelines. Three databases were searched for eligible studies that reported pre-and/or post-operative Breast-Q™ augmentation scores for patient QoL (psychosocial, sexual, and physical well-being) and/or satisfaction.RESULTS:
A total of 39 studies (53 patient cohorts and 18,322 patients) were included in the quantitative synthesis. The pairwise meta-analysis revealed significant improvements in patient-reported psychosocial (MD +38.10) and sexual well-being (MD +40.20) as well as satisfaction with breast (MD +47.88) (all p < 0.00001). Physical well-being improved slightly after breast augmentation (MD +6.97; p = 0.42). The single-arm meta-analysis yielded comparable results, with Breast-Q™ scores in psychosocial and sexual well-being as well as satisfaction with breast increasing from 37.2, 31.1, and 26.3 to 75.0, 70.6, and 72.7, respectively (all p < 0.00001). Physical well-being improved by 8.1 (75.8 pre-operatively to 83.9 post-operatively; p = 0.17). Subgroup analyses highlighted higher QoL and satisfaction following breast augmentation for purely esthetic purposes and alloplastic mammaplasty. Although patient-reported physical and sexual well-being increased in the long term, psychosocial well-being was the highest in the short term.CONCLUSION:
Patient satisfaction with breast, psychosocial, and sexual well-being increased significantly after breast augmentation. In contrast, patient-reported physical well-being yielded ambivalent results, varying by mammaplasty technique and post-operative follow-up time. Plastic surgeons should be sensitized about our findings to refine eligibility criteria and gain a deeper understanding of the patients' perceived surgical experience. PROSPERO TRIAL REGISTRATION NO CRD42023409605.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Quality of Life
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Patient Satisfaction
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Mammaplasty
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Patient Reported Outcome Measures
Limits:
Female
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Humans
Language:
En
Journal:
J Plast Reconstr Aesthet Surg
/
J. plast. reconstr. aesthet. surg
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Journal of plastic, reconstructive and aesthetic surgery
Year:
2024
Document type:
Article
Country of publication: