Auque Anna, Bodin Frédéric
Department of Plastic, Reconstructive, and Aesthetic Surgery, CHRU de Strasbourg, 1, Avenue Molière, 67200, Strasbourg, France.
Aesthetic Plast Surg. 2025 Jun 2. doi: 10.1007/s00266-025-04922-9.
Breast augmentation is the most common cosmetic surgery worldwide. Despite recent approval for aesthetic use, adipose tissue autografting remains underutilized compared to breast implants, the standard for hypoplasia correction.
This study aims to compare patient satisfaction and quality of life following breast augmentation with implants or lipofilling, using the BREAST-Q questionnaire.
From July 2017 to 2022, patients from our Plastic, Reconstructive, and Aesthetic Surgery Department who underwent breast augmentation with implants or lipofillin were included. The primary endpoint was patient satisfaction and quality of life, assessed using the BREAST-Q questionnaire at least six months postoperatively.
Among 119 patients (87 implants, 32 lipofilling), BREAST-Q scores showed no significant difference in breast satisfaction (71/100 vs. 69/100). Psychosocial and sexual well-being scores were similar between groups, while physical well-being was higher in the lipofilling group (96/100 vs. 87/100). Major complications occurred in 3.4% of the implant group, whereas none were observed in the lipofilling group.
Adipose tissue autografting is an effective technique, providing comparable patient satisfaction to breast implants while offering better physical well-being. It is a viable alternative to implants, particularly for patients seeking moderate breast augmentation or avoiding foreign materials, provided they have sufficient fat reserves.
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隆胸是全球最常见的整形手术。尽管脂肪组织自体移植最近已被批准用于美容用途，但与用于矫正乳房发育不全的标准方法乳房植入物相比，其利用率仍然较低。
本研究旨在使用BREAST-Q问卷比较植入物隆胸或脂肪填充隆胸后患者的满意度和生活质量。
纳入2017年7月至2022年期间在我们的整形、重建和美容外科接受植入物隆胸或脂肪填充隆胸的患者。主要终点是患者满意度和生活质量，在术后至少六个月使用BREAST-Q问卷进行评估。
在119例患者中（87例植入物隆胸，32例脂肪填充隆胸），BREAST-Q评分显示乳房满意度无显著差异（71/100对69/100）。两组之间的心理社会和性健康评分相似，而脂肪填充隆胸组的身体健康评分更高（96/100对87/100）。植入物隆胸组有3.4%发生了严重并发症，而脂肪填充隆胸组未观察到严重并发症。
脂肪组织自体移植是一种有效的技术，能为患者提供与乳房植入物相当的满意度，同时带来更好的身体健康状况。它是植入物的一种可行替代方案，特别是对于寻求适度隆胸或避免使用外来材料且有足够脂肪储备的患者。
证据等级IV：本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南www.springer.com/00266 。
