Lava Christian X, Li Karen R, Spoer Daisy L, Bekeny Jenna C, Stanton Henry L, Falconer Rebecca J, Fan Kenneth L
From the Georgetown University School of Medicine, Washington, DC.
Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, DC.
Plast Reconstr Surg Glob Open. 2025 Sep 23;13(9):e7129. doi: 10.1097/GOX.0000000000007129. eCollection 2025 Sep.
In this study, we aimed to assess the impact of soft tissue simulations as a decision aid on BREAST-Q outcomes after breast reduction surgery. A total of 7 patients underwent breast reduction. The mean BREAST-Q scores at baseline and 6 months showed significant differences in the domains of satisfaction with breasts (20.1 ± 10.1 versus 78.3 ± 8.1; < 0.001), psychosocial well-being (29.2 ± 12.2 versus 81.2 ± 9.0; < 0.001), sexual well-being (29.0 ± 14.5 versus 74.0 ± 12.3; < 0.001), and physical well-being (40.2 ± 14.3 versus 78.6 ± 10.2; < 0.001). When patients were asked, "On a scale of 1 to 10, how challenging do you find the decision-making process for selecting a postoperative breast cup size?" the mean score was 9.6 ± 0.5. When asked, "How helpful are these images in helping you choose your preferred breast cup size?" all respondents selected "extremely helpful" (n = 10, 100.0%). This pilot study supported the use of soft tissue simulations as a decision aid to improve patient satisfaction.
在本研究中，我们旨在评估软组织模拟作为一种决策辅助工具对乳房缩小术后BREAST-Q结局的影响。共有7例患者接受了乳房缩小手术。基线和6个月时的BREAST-Q平均得分在乳房满意度（20.1±10.1对78.3±8.1；<0.001）、心理社会幸福感（29.2±12.2对81.2±9.0；<0.001）、性幸福感（29.0±14.5对74.0±12.3；<0.001）和身体幸福感（40.2±14.3对78.6±10.2；<0.001）等领域显示出显著差异。当询问患者“从1到10打分，您觉得选择术后胸罩罩杯尺寸的决策过程有多具挑战性？”时，平均得分为9.6±0.5。当被问及“这些图像对您选择偏好的胸罩罩杯尺寸有多大帮助？”时，所有受访者均选择“极其有帮助”（n = 10，100.0%）。这项初步研究支持使用软组织模拟作为决策辅助工具来提高患者满意度。
