Skip to main content
SpringerLink
Log in

Patient Satisfaction and Clinical Outcomes Following 414 Breast Reductions: Application of BREAST-Q

  • Original Article
  • Breast Surgery
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

The aim of this study was to measure breast satisfaction and quality of life using the BREAST-Q Reduction Module in a large sample of postoperative patients having breast reduction using the inverted T technique.

Methods

With due approval from the ethics committee of our university, 414 patients who were seen in consultation for breast reduction surgery between 2005 and 2015 performed by the same team were asked to fill out BREAST-Q surveys. The patient factors collected for all those undergoing breast reduction included age, body mass index, incision pattern, areola complex pedicle used, amount of tissue resected, concurrent procedures, and complications.

Results

At our Department of plastic, reconstructive, and aesthetic surgery, 414 women underwent reduction mammoplasty with the inverted T technique from 2005 to 2015. All patients answered the BREAST-Q reduction mammoplasty postoperative module. Postoperative patients who presented with severe hypertrophy and asymmetry Grade C were more satisfied than others.

Conclusions

Our study represents the largest number of patients who answered the BREAST-Q reduction mammoplasty module. The goal of breast surgery should be the attainment of patient satisfaction with good breast volume, shape, and symmetry.

Level of evidence IV

This journal requires that authors assign a level of evidence to each submission to which Evidence Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors. http://www.springer.com/00266

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. http://www.plasticsurgery.org/Documents/news-resources/statistics/2015-statistics/plastic-surgery-statsitics-full-report.pdf

  2. Cano SJ, Klassen AF, Scott AM, Cordeiro PG, Pusic AL (2012) The BREAST-Q: further validation in independent clinical samples. Plast Reconstr Surg 129:293–302

    Article  CAS  PubMed  Google Scholar 

  3. Pusic AL, Klassen AF, Scott AM, Klok JA, Cordeiro PG, Cano SJ (2009) Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q. Plast Reconstr Surg 124:345–353

    Article  CAS  PubMed  Google Scholar 

  4. Lalardrie JP, Jouglard JP (1982) Reduction mammoplasty: general approach and basic considerations. Aesthet Plast Surg 6:81–83

    Article  CAS  Google Scholar 

  5. Persichetti P, Cagli B, Tenna S, Simone P, Marangi GF, Li Vecchi G (2005) Decision making in the treatment of tuberous and tubular breasts: volume adjustment as a crucial stage in the surgical strategy. Aesthet Plast Surg 29:482–488

    Article  Google Scholar 

  6. Rasch G (1993) Probabilistic models for some intelligence and attainment tests. MESA Press, Chicago, IL

    Google Scholar 

  7. Coriddi M, Nadeau M, Taghizadeh M, Taylor A (2013) Analysis of satisfaction and well-being following breast reduction using a validated survey instrument: the BREAST-Q. Plast Reconstr Surg 132:285–290

    Article  CAS  PubMed  Google Scholar 

  8. Saariniemi K, Luukkala T, Kuokkanen H (2011) The outcome of reduction mammaplasty is affected more by psychosocial factors than by changes in breast dimensions. Scand J Surg 100:105–109

    Article  CAS  PubMed  Google Scholar 

  9. Hermans BJ, Boeckx WD, De Lorenzi F, van der Hulst RR (2005) Quality of life after breast reduction. Ann Plast Surg 55:227–231

    Article  CAS  PubMed  Google Scholar 

  10. Mello AA, Domingos NA, Miyazaki MC (2010) Improvement in quality of life and self-esteem after breast reduction surgery. Aesthet Plast Surg 34:59–64

    Article  Google Scholar 

  11. Sabino Neto M, Demattê MF, Freire M, Garcia EB, Quaresma M, Ferreira LM (2008) Self-esteem and functional capacity outcomes following reduction mammaplasty. Aesthet Surg J 28:417–420

    Article  PubMed  Google Scholar 

  12. Anderson RC, Cunningham B, Tafesse E, Lenderking WR (2006) Validation of the breast evaluation questionnaire for use with breast surgery patients. Plast Reconstr Surg 118:597–602

    Article  CAS  PubMed  Google Scholar 

  13. Anderson RC, Cunningham B, Tafesse E, Lenderking WR (2006) Validation of the breast evaluation questionnaire for use with breast surgery patients. Plast Reconstr Surg 118:597–602

    Article  CAS  PubMed  Google Scholar 

  14. Kececi Y, Sir E, Gungor M (2015) Patient-reported quality-of-life outcomes of breast reduction evaluated with generic questionnaires and the breast reduction assessed severity scale. Aesthet Surg J 35:48–54

    Article  PubMed  Google Scholar 

  15. Barone M, Cogliandro A, La-Monaca G, Tambone V, Persichetti P (2015) Cognitive investigation study of patients admitted for cosmetic surgery: information, expectations, and consent for treatment. Arch Plast Surg 42:46–51

    Article  PubMed  PubMed Central  Google Scholar 

  16. Cagli B, Cogliandro A, Barone M, Persichetti P (2014) Quality-of-life outcomes between mastectomy alone and breast reconstruction: comparison of patient-reported BREAST-Q and other health-related quality-of-life measures. Plast Reconstr Surg 133:594e–595e

    Article  CAS  PubMed  Google Scholar 

  17. Scott GR, Carson CL, Borah GL (2005) Maximizing outcomes in breast reduction surgery: a review of 518 consecutive patients. Plast Reconstr Surg 116:1633–1639

    Article  CAS  PubMed  Google Scholar 

  18. Behmand RA, Tang DH, Smith DJ Jr (2000) Outcomes in breast reduction surgery. Ann Plast Surg 45:575–580

    Article  CAS  PubMed  Google Scholar 

  19. Saariniemi K, Luukkala T, Kuokkanen H (2011) The outcome of reduction mammoplasty is affected more by psychosocial factors than by changes in breast dimensions. Scand J Surg 100:105–109

    Article  CAS  PubMed  Google Scholar 

  20. Mello AA, Domingos NA, Miyazaki MC (2010) Improvement in quality of life and self-esteem after breast reduction surgery. Aesthet Plast Surg 34:59–64

    Article  Google Scholar 

  21. Cohen WA, Homel P, Patel NP (2016) Does time affect patient satisfaction and health-related quality of life after reduction mammoplasty? Eplasty 21(16):e7

    Google Scholar 

  22. Pérez-Panzano E, Güemes-Sánchez A, Gascón-Catalán A (2016) Quality of life following symptomatic macromastia surgery: short- and long-term evaluation. Breast J 22:397–406

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Plastic and Reconstructive Surgery Unit, Campus Bio-Medico University, Via Alvaro Del Portillo 200, Rome, Italy

    A. Cogliandro, M. Barone, G. Cassotta, S. Tenna, B. Cagli & P. Persichetti

Authors
  1. A. Cogliandro
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Barone
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. G. Cassotta
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. S. Tenna
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. B. Cagli
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. P. Persichetti
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M. Barone.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Human and Animal Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

This study was approved by the ethics committee of our university. Each subject provided written informed consent before participating in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Cogliandro, A., Barone, M., Cassotta, G. et al. Patient Satisfaction and Clinical Outcomes Following 414 Breast Reductions: Application of BREAST-Q. Aesth Plast Surg 41, 245–249 (2017). https://doi.org/10.1007/s00266-016-0774-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00266-016-0774-y

Keywords

Search

Navigation