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Background <p>Breast hypertrophy causes a variety of physical and psychological problems for patients, both of which lead to decreased quality of life. This research aimed to compare patients’ quality of life before and after elective breast reduction surgery and to evaluate factors contributing to improved quality of life after surgery.</p> Methods <p>Fifty-one women aged 18–65&#xa0;years were enrolled. The data about the quality of life were obtained retrospectively using a standardized Breast-Q questionnaire© and evaluated by the software evaluation tool QScore©.</p> Results <p>The mean age of participants was 42.33 ± 10.30&#xa0;years. The overall quality of life improved significantly by 60%. On average, the respondents had 1,119.2&#xa0;g of breast tissue removed per breast. Before the surgery, the average body mass index was 29.88, while after surgery it was 27.52. The average breast size was 6.41 before surgery and 3.3 (i.e., cup sizes C—D) after surgery. The average time of questionnaire return was 3.9 ± 2.99&#xa0;years after surgery. The average time spent in the hospital was 6.02 ± 1.44&#xa0;days. The complication rate was 23%. None of these factors influenced the patients' satisfaction with the outcome. However, the surgical technique chosen seemed to play a significant role in the satisfaction of patients with the reduction.</p> Conclusions <p>In our study, reduction mammaplasty improved the well-being of the patients in all aspects of the Breast-Q questionnaire. Of the observed factors, only the surgical technique appeared to affect satisfaction with long-term outcomes significantly<b>.</b></p> Trial registration <p>Clinicaltrials.gov No.: NCT02769559.</p>

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Surgical Factors Influencing Quality of Life After Reduction Mammaplasty in Patients with Breast Hypertrophy

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年1月1日

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  • Martina Chotárová,
  • Ján Mihalečko,
  • Alexander Mayer,
  • Martin Boháč

摘要

Background

Breast hypertrophy causes a variety of physical and psychological problems for patients, both of which lead to decreased quality of life. This research aimed to compare patients’ quality of life before and after elective breast reduction surgery and to evaluate factors contributing to improved quality of life after surgery.

Methods

Fifty-one women aged 18–65 years were enrolled. The data about the quality of life were obtained retrospectively using a standardized Breast-Q questionnaire© and evaluated by the software evaluation tool QScore©.

Results

The mean age of participants was 42.33 ± 10.30 years. The overall quality of life improved significantly by 60%. On average, the respondents had 1,119.2 g of breast tissue removed per breast. Before the surgery, the average body mass index was 29.88, while after surgery it was 27.52. The average breast size was 6.41 before surgery and 3.3 (i.e., cup sizes C—D) after surgery. The average time of questionnaire return was 3.9 ± 2.99 years after surgery. The average time spent in the hospital was 6.02 ± 1.44 days. The complication rate was 23%. None of these factors influenced the patients' satisfaction with the outcome. However, the surgical technique chosen seemed to play a significant role in the satisfaction of patients with the reduction.

Conclusions

In our study, reduction mammaplasty improved the well-being of the patients in all aspects of the Breast-Q questionnaire. Of the observed factors, only the surgical technique appeared to affect satisfaction with long-term outcomes significantly.

Trial registration

Clinicaltrials.gov No.: NCT02769559.