Clínica Aurea, Juan XXIII 6130, Vitacura, Santiago, Chile.
School of Public Health, University of Chile, Santiago, Chile.
Aesthetic Plast Surg. 2024 Sep;48(17):3370-3377. doi: 10.1007/s00266-024-03900-x. Epub 2024 Mar 4.
The primary objective of this study was to determine the long-term satisfaction levels of women who have undergone breast augmentation and augmentation mastopexy procedures, while identifying the factors influencing patient satisfaction.
A self-reported retrospective case study design was used to collect data from women with breast implants. The study employed a survey that included demographic information, preoperative diagnosis, implant details, and patient-reported outcomes measured using the Breast-Q Instrument, which evaluates satisfaction with breasts, self-esteem, sexual well-being, and physical symptoms. Statistical analyses were conducted to identify correlations and differences in outcomes between the different variables.
The survey was completed by 1022 women from 19 countries, with Chile, Mexico, and Colombia being the most represented. Augmentation was performed on 72.2% of the patients, while 27.7% underwent augmentation mastopexy. Patient satisfaction with breast size and shape varied significantly between the two procedures, with patients undergoing augmentation mastopexy showing less satisfaction. In addition, patients who were unaware of their implant shape or placement reported lower satisfaction scores. The study also found that patient satisfaction decreased over time in the augmentation mastopexy cases and that patients with high body mass index had lower satisfaction.
Augmentation mastopexy in patients with breast ptosis yields lower satisfaction than augmentation alone. Dissatisfaction escalates with overweight/obesity (BMI), post-surgery time, and misinformation. Implant pocket (pre-vs. subpectoral), shape (round vs. anatomical), and size did not impact satisfaction.
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本研究的主要目的是确定接受乳房隆乳和隆乳术的女性的长期满意度，并确定影响患者满意度的因素。
采用自我报告的回顾性病例研究设计，收集乳房植入物女性患者的数据。该研究采用问卷调查，包括人口统计学信息、术前诊断、植入物细节以及使用乳房 Q 量表评估的患者报告结果，该量表评估对乳房的满意度、自尊、性健康和身体症状。进行统计分析以确定不同变量之间的相关性和结果差异。
该调查完成于来自 19 个国家的 1022 名女性，其中智利、墨西哥和哥伦比亚的代表人数最多。72.2%的患者接受了隆乳术，27.7%的患者接受了隆乳术。患者对乳房大小和形状的满意度在两种手术之间存在显著差异，接受隆乳术的患者满意度较低。此外，对自己的植入物形状或位置不知情的患者报告的满意度评分较低。研究还发现，隆乳术患者的满意度随时间推移而下降，且身体质量指数较高的患者满意度较低。
乳房下垂患者的隆乳术联合乳房悬吊术的满意度低于单纯隆乳术。随着超重/肥胖（BMI）、术后时间和错误信息的增加，不满情绪会加剧。植入物口袋（胸肌下与胸肌上）、形状（圆形与解剖形）和大小对满意度没有影响。
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