Losee J E, Serletti J M, Kreipe R E, Caldwell E H
Department of Surgery, Strong Memorial Hospital, University of Rochester, NY 14642, USA.
Ann Plast Surg. 1997 Nov;39(5):443-6. doi: 10.1097/00000637-199711000-00001.
Women with eating disorders have been disqualified as candidates for plastic surgery. We present a group of 6 young women with bulimia nervosa who presented with clinically symptomatic evidence of macromastia. All patients reported that dysfunctional eating habits, at least in part, where due to breast enlargement. Five patients underwent bilateral reduction mammaplasty. Patients were interviewed postoperatively and reported relief of physical symptoms and improvement in psychological well-being. Symptoms of eating disorders were completely eliminated or greatly reduced. This series has supported the contention that macromastia can produce a distortion of body image and become a secondary cause of eating disorders. Surgical correction of large breasts has improved body image, leads to the amelioration of associated eating disorders, and may in part represent a surgical treatment for a psychological abnormality. The presence of an eating disorder should not, therefore, automatically exclude a patient from surgical consideration. Routine preoperative evaluation of young women seeking plastic surgery should include a set of standard questions regarding eating behaviors.
患有饮食失调症的女性被取消了整形手术候选人资格。我们报告一组6名患有神经性贪食症的年轻女性，她们有巨乳症的临床症状证据。所有患者均报告称，功能失调的饮食习惯至少部分归因于乳房增大。5名患者接受了双侧乳房缩小术。术后对患者进行了访谈，她们报告身体症状得到缓解，心理健康状况有所改善。饮食失调症状完全消除或大幅减轻。该系列研究支持了以下观点，即巨乳症可导致身体形象扭曲，并成为饮食失调的次要原因。对大乳房进行手术矫正改善了身体形象，减轻了相关的饮食失调症状，并且在一定程度上可能代表了对心理异常的一种手术治疗方法。因此，饮食失调的存在不应自动将患者排除在手术考虑之外。对寻求整形手术的年轻女性进行常规术前评估应包括一组关于饮食行为的标准问题。
