Department of Plastic Surgery, Inonu University Turgut Ozal Medical Center Training and Research Hospital, Malatya, Turkey.
Department of Psychiatry, Inonu University Turgut Ozal Medical Center Training and Research Hospital, Malatya, Turkey.
Aesthetic Plast Surg. 2021 Dec;45(6):2658-2664. doi: 10.1007/s00266-021-02354-9. Epub 2021 Jun 1.
Breast reduction surgeries increase the individual's comfort of life by eliminating the problems caused by breast hypertrophy. We aimed to evaluate the effects of patients' demographic and operational data on satisfaction by using Breast-Q Questionnaire.
Breast-Q Questionnaire breast reduction module was applied to patients who had undergone breast reduction surgery by a single surgeon between 2016 and 2020 and who agreed to participate in the study. Demographic and operational data and Questionnaire results were analyzed with the help of SPSS Statistics V21.0 program by considering p < 0.05 as significant.
Of the 94 patients who had undergone surgery, 52 who agreed to fill in the questionnaire were included in the study. Mean age was 39 and mean body mass index was (BMI) 28.6 kg/m. Forty eight (92.3%) patients had undergone surgery for noncosmetic reasons. Significant differences were found between the physical well-being scores of the participants whose BMI was <25 and those whose BMI was >30. It was found that physical well-being (p= 0.001) and the amount of tissue removed increased with the increase in BMI (p = 0.018). No association was found between the tissue removed, the change in bra sizes and satisfaction. Satisfaction with outcome of surgery was found as 84.51% ± 24.28. Linear association was found between pre-information given and Breast-Q scores (p < 0.001).
In our study, it was found that the tissue removed, breast size and the change in bra size had no effect on patient satisfaction. Being informed was found to be directly related to satisfaction. Providing sufficient information, understanding the expectations and obtaining the desired cosmetic results is important. Although physical complaints are at the forefront in the decision of surgery, aesthetic appearance is more effective in being satisfied with the surgery. A breast the weight of which is reduced through breast reduction and which looks aesthetically beautiful can only please the patient. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
乳房缩小手术通过消除乳房肥大引起的问题，提高了个体的生活舒适度。我们旨在通过使用乳房质量问卷（Breast-Q Questionnaire）评估患者的人口统计学和手术数据对满意度的影响。
对 2016 年至 2020 年间由一位外科医生进行乳房缩小手术且同意参与研究的患者应用乳房质量问卷乳房缩小模块。借助 SPSS Statistics V21.0 程序分析人口统计学和手术数据以及问卷结果，以 p < 0.05 为显著标准。
在接受手术的 94 名患者中，有 52 名同意填写问卷的患者纳入研究。平均年龄为 39 岁，平均体重指数（BMI）为 28.6kg/m2。48 名（92.3%）患者因非美容原因接受手术。参与者的身体幸福感评分在 BMI < 25 与 BMI > 30 之间存在显著差异。发现身体幸福感（p=0.001）和去除的组织量随 BMI 的增加而增加（p=0.018）。去除的组织量、胸罩尺寸的变化与满意度之间没有关联。手术结果满意度为 84.51%±24.28%。术前信息与乳房质量问卷评分之间存在线性关联（p < 0.001）。
在我们的研究中，发现去除的组织量、乳房大小和胸罩尺寸的变化与患者满意度无关。告知信息与满意度直接相关。提供足够的信息、了解预期并获得所需的美容效果很重要。尽管在手术决策中身体投诉处于首要地位，但手术满意度受美观外观的影响更大。通过乳房缩小术减轻重量且外观美观的乳房只会让患者感到满意。
