Oslo Plastikkirurgi Clinic, Inkognitogaten 34, Oslo, Norway.
Aesthet Surg J. 2013 Feb;33(2):252-7. doi: 10.1177/1090820X12473106. Epub 2013 Jan 16.
Quality of life (QOL) among breast augmentation patients is a growing research area, with newly worrisome data on psychological health in this group.
The authors investigate characteristics of breast implant patients, including motivations for surgery, depression rate, effect of surgery on daily activity and work activity, and overall psychosocial and cosmetic changes through a self-reported survey.
Of 121 consecutive breast augmentation patients treated by the senior author (AK) between 2005 and 2008, a total of 93 patients were reachable via e-mail and were sent a 47-question survey, which they could return anonymously. Answers were processed by QuestBack mail system (QuestBack AS, Oslo, Norway) and sent to the authors as diagrams and figures, rather than as raw data.
The response rate for this survey was 67%. Average follow-up was 2.8 years. For 65%, the motivation for surgery was cosmetic; 48% replied it was for emotional reasons (reduced self-esteem), 22% for intimate reasons, and 10% for physical reasons. Before the operation, 6% of respondents reported diagnosed depression. The postoperative changes were equal between improved and worsened depression. In 27%, the operation increased motivation for daily activities; 73% felt like a "whole" person, and 26% experienced improvement in social skills. In terms of the cosmetic result, 93% were satisfied or very satisfied. However, 27% indicated they were unsatisfied or very unsatisfied with skin sensation.
Although in some cases depression increased postoperatively, the depression rate in our study was still lower than the published range in the general population in Norway. Breast enlargement increased motivation to perform daily activities in our patients. The procedure improved QOL in both psychosocial and cosmetic aspects. However, the relatively high percentage of patients who experienced reduced breast skin sensitivity postoperatively can represent a challenge for the surgeon. Multicenter/clinic studies are necessary to form a better idea about the implications of the depression rate postoperatively.
乳房隆乳患者的生活质量（QOL）是一个日益受到关注的研究领域，该群体的心理健康数据令人担忧。
作者通过自报式问卷调查，调查了乳房植入患者的特征，包括手术动机、抑郁发生率、手术对日常活动和工作活动的影响，以及整体心理社会和美容变化。
2005 年至 2008 年间，资深作者（AK）对 121 例连续乳房隆乳患者进行了治疗，共向 93 例可通过电子邮件联系的患者发送了一份包含 47 个问题的调查问卷，患者可匿名回复。答案由 QuestBack 邮件系统（挪威奥斯陆 QuestBack AS）处理，并以图表形式发送给作者，而不是原始数据。
该调查的回复率为 67%。平均随访时间为 2.8 年。65%的患者手术动机是美容，48%的患者回答是为了改善情绪（自尊心降低），22%的患者是为了亲密关系，10%的患者是为了改善身体健康。术前，6%的患者报告诊断出抑郁症。手术对抑郁改善或恶化的影响没有差异。27%的患者术后增加了日常活动的动力；73%的患者感觉自己是“完整的”人，26%的患者社交技能得到改善。93%的患者对美容效果满意或非常满意。然而，27%的患者表示对乳房皮肤感觉不满意或非常不满意。
尽管在某些情况下，术后抑郁有所增加，但本研究中的抑郁发生率仍低于挪威普通人群的报告范围。乳房增大增加了患者进行日常活动的动力。该手术在心理社会和美容方面均提高了生活质量。然而，术后相当比例的患者经历了乳房皮肤敏感性降低，这可能对手术医生构成挑战。有必要开展多中心/诊所研究，以更好地了解术后抑郁发生率的影响。
