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CC BY-NC-ND 4.0 · Arch Plast Surg 2022; 49(03): 352-359
DOI: 10.1055/s-0042-1748649
Breast/Trunk
Original Article

Patient-Reported Outcomes after Subpectoral Breast Augmentation with Microtextured or Macrotextured Implants Using the BREAST-Q

Alice Teixeira Leite 
1   Graduate Program in Translational Surgery, Federal University of São Paulo (UNIFESP), São Paulo, Brazil
,
Miguel Sabino-Neto 
2   Division of Plastic Surgery, Department of Surgery, Federal University of São Paulo (UNIFESP), São Paulo, Brazil
,
Vanessa Contato Lopes Resende 
3   São Paulo Hospital, Federal University of São Paulo (UNIFESP), São Paulo, Brazil
,
Daniela Francescato Veiga 
2   Division of Plastic Surgery, Department of Surgery, Federal University of São Paulo (UNIFESP), São Paulo, Brazil
,
Lydia Masako Ferreira 
2   Division of Plastic Surgery, Department of Surgery, Federal University of São Paulo (UNIFESP), São Paulo, Brazil
› Author Affiliations Funding None.
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Abstract

Background Breast augmentation with implants is the most commonly performed cosmetic plastic surgery in Brazil and worldwide. The aim of this study was to assess patient satisfaction and quality of life following subpectoral breast augmentation with either microtextured or macrotextured implants, using the BREAST-Q.

Methods A prospective study was conducted with 40 women with hypomastia undergoing subpectoral breast augmentation. The patients were randomly allocated to two groups to receive either microtextured or macrotextured breast implants. All participants were assessed preoperatively (baseline) and after 2 and 4 months of surgery for quality of life and patient satisfaction with the surgical results, using the BREAST-Q augmentation module, a patient-reported outcome measure.

Results The patients had a mean age of 28.9 ± 6.45 years. The microtextured (n = 20) and macrotextured (n = 20) groups were homogeneous for sex, age, education level, marital status, and number of children (p > 0.05). Both groups showed significant improvement in satisfaction with breasts (p < 0.001), psychosocial well-being (p < 0.001), and sexual well-being (p < 0.001) at the 2- and 4-month follow-up visits compared with baseline. The observed improvements were associated with high effect size values of 5.09, 3.44, and 3.90, respectively. In contrast, significant decreases from baseline in physical well-being scores (p = 0.001) were found 2 and 4 weeks after surgery in both groups.

Conclusion Subpectoral breast augmentation with either microtextured or macrotextured breast implants improved satisfaction with breasts and quality of life in patients with hypomastia.

Keywords

mammaplasty - breast implants - plastic surgery - patient-reported outcome measures - patient satisfaction

Author Contributions

Conceptualization: A.T.L., M.S.N., V.C.L.R, D.F.V., L.M.F. Data curation: A.T.L., M.S.N., V.C.L.R., D.F.V. Project administration: M.S.N., D.F.V., L.M.F. Visualization: A.T.L., M.S.N., V.C.L.R., D.F.V., L.M.F. Writing - original draft: A.T.L., M.S.N., V.C.L.R., D.F.V. Writing - review and editing: A.T.L., M.S.N., V.C.L.R., D.F.V., L.M.F. Approval of final manuscript: all authors.


Ethical Approval

All procedures involving human participants were approved by the Institutional Review Board (IRB No. 1344/2015) and performed in accordance with the ethical standards of the Resolution 466/12 of the Brazilian National Health Council (CNS) on research involving human beings and with the 1964 Helsinki Declaration and its later amendments. This article does not contain any studies with animals performed by any of the authors. All participants gave their informed consent in writing prior to inclusion in the study for use of clinical data for scientific purposes and publication.


Patient Consent

Informed consent was obtained from all individual participants included in the study.




Publication History

Article published online:
27 May 2022

© 2022. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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