Leite Alice Teixeira, Sabino-Neto Miguel, Resende Vanessa Contato Lopes, Veiga Daniela Francescato, Ferreira Lydia Masako
Graduate Program in Translational Surgery, Federal University of São Paulo (UNIFESP), São Paulo, Brazil.
Division of Plastic Surgery, Department of Surgery, Federal University of São Paulo (UNIFESP), São Paulo, Brazil.
Arch Plast Surg. 2022 May 27;49(3):352-359. doi: 10.1055/s-0042-1748649. eCollection 2022 May.
Breast augmentation with implants is the most commonly performed cosmetic plastic surgery in Brazil and worldwide. The aim of this study was to assess patient satisfaction and quality of life following subpectoral breast augmentation with either microtextured or macrotextured implants, using the BREAST-Q. A prospective study was conducted with 40 women with hypomastia undergoing subpectoral breast augmentation. The patients were randomly allocated to two groups to receive either microtextured or macrotextured breast implants. All participants were assessed preoperatively (baseline) and after 2 and 4 months of surgery for quality of life and patient satisfaction with the surgical results, using the BREAST-Q augmentation module, a patient-reported outcome measure. The patients had a mean age of 28.9 ± 6.45 years. The microtextured ( = 20) and macrotextured ( = 20) groups were homogeneous for sex, age, education level, marital status, and number of children ( > 0.05). Both groups showed significant improvement in satisfaction with breasts ( < 0.001), psychosocial well-being ( < 0.001), and sexual well-being ( < 0.001) at the 2- and 4-month follow-up visits compared with baseline. The observed improvements were associated with high effect size values of 5.09, 3.44, and 3.90, respectively. In contrast, significant decreases from baseline in physical well-being scores ( = 0.001) were found 2 and 4 weeks after surgery in both groups. Subpectoral breast augmentation with either microtextured or macrotextured breast implants improved satisfaction with breasts and quality of life in patients with hypomastia.
在巴西乃至全球，植入式隆胸是最常见的整形美容手术。本研究旨在使用BREAST-Q评估采用微纹理或大纹理植入物进行胸肌下隆胸术后患者的满意度和生活质量。
对40例乳房发育不良的女性进行了一项前瞻性研究，她们接受了胸肌下隆胸手术。患者被随机分为两组，分别接受微纹理或大纹理乳房植入物。所有参与者在术前（基线）以及术后2个月和4个月时，使用BREAST-Q隆胸模块（一种患者报告的结局指标）对生活质量和对手术效果的患者满意度进行评估。
患者的平均年龄为28.9 ± 6.45岁。微纹理组（n = 20）和大纹理组（n = 20）在性别、年龄、教育水平、婚姻状况和子女数量方面具有同质性（P > 0.05）。与基线相比，两组在术后2个月和4个月的随访中，乳房满意度（P < 0.001）、心理社会幸福感（P < 0.001）和性幸福感（P < 0.001）均有显著改善。观察到的改善分别与5.09、3.44和3.90的高效应量值相关。相比之下，两组在术后2周和4周时，身体幸福感得分较基线均显著下降（P = 0.001）。
采用微纹理或大纹理乳房植入物进行胸肌下隆胸可提高乳房发育不良患者的乳房满意度和生活质量。
