Department of Plastic Surgery & Burns, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.
Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.
Aesthet Surg J. 2021 Jun 14;41(7):NP758-NP762. doi: 10.1093/asj/sjaa375.
Macromastia (breast hypertrophy) has a significant influence on patients' quality of life (QoL), and surgical treatment therefore offers clear medical benefits.Rapid improvements in musculoskeletal complaints are being reported long before final aesthetic results are traditionally evaluated.
The aim of this study was to use the RAND Health Status Survey, in modified validated Short Form 36 (SF-36), to analyze patient QoL after breast reduction, and examine whether QoL changes as a function of postoperative time.
This cross-sectional study included 50 consecutive selected female patients who underwent breast reduction surgery by the same technique performed by a single surgeon between January 2016 and December 2019. Changes in QoL were reported based on a modified SF-36 survey, with scores standardized according to the mean of the general population. Time intervals between the operations and surveys were recorded.
The patients were divided into 3 categories according to time since their operation (<3 months, 3-12 months, and >12 months), and assessed pre- and postoperatively. The mean [standard deviation] weight of breast tissue removed was 479.97 [159.38] g per breast. Mean follow-up time was 15.02 [14.3] months. All patients were satisfied with the shape of their new breasts and none reported to have suffered major complications postoperatively. For all 3 groups, patients' scores in the SF-36 survey post- compared with preoperation indicated improvement unrelated to time elapsed since operation.
Breast reduction improves symptoms and well-being, unrelated to amount of tissue removed or to time elapsed postsurgery. This improvement is rapid and may lead to better coverage from medical insurance providers.
巨乳症（乳房肥大）对患者的生活质量（QoL）有重大影响，因此手术治疗具有明显的医学益处。骨骼肌肉投诉的快速改善在传统上评估最终美学效果之前就已经得到报道。
本研究旨在使用 RAND 健康状况调查（modified validated Short Form 36，SF-36）分析乳房缩小术后患者的 QoL，并检查 QoL 是否随术后时间的变化而变化。
这是一项横断面研究，纳入了 2016 年 1 月至 2019 年 12 月期间由同一位外科医生采用相同技术进行乳房缩小术的 50 例连续选择的女性患者。根据修改后的 SF-36 调查报告 QoL 的变化，评分根据一般人群的平均值进行标准化。记录手术和调查之间的时间间隔。
患者根据手术时间（<3 个月、3-12 个月和>12 个月）分为 3 组，术前和术后进行评估。每侧乳房去除的平均（标准差）乳房组织重量为 479.97（159.38）g。平均随访时间为 15.02（14.3）个月。所有患者对新乳房的形状都很满意，没有报告术后发生重大并发症。对于所有 3 组，SF-36 调查的术后评分均高于术前，且与手术时间无关。
乳房缩小术可改善症状和幸福感，与去除的组织量或术后时间无关。这种改善是迅速的，可能会使更多的医疗保险提供者提供更好的覆盖范围。
