Evaluation of Quality of Life (BREAST-Q) and Scar Quality (POSAS) after Breast Augmentation

Abstract

Background: This study examines the effects of breast augmentation on women who underwent surgery in Germany regarding their quality of life (QOL) and scar quality using patient-reported surveys. The purpose of this study was to determine if there is an increase in women’s QOL after surgery compared with preoperative, and to evaluate their postoperative scar quality. Methods: A prospective monocentric study was conducted on 50 women who underwent breast augmentation with nanotextured silicone-filled implants between October 2018 and December 2020. Of these women, 21 (42%) participated in the preoperative survey (BREAST-Q), and 50 (100%) participated in the postoperative survey (BREAST-Q and POSAS). We used the BREAST-Q questionnaire to measure patients’ QOL and the Patient and Observer Scar Assessment Scale to determine the scar quality. Results: Psychosocial well-being increased by 34.3 points according to the Q-score, sexual well-being increased by 35.7, and satisfaction with breasts increased by 48.8. Physical well-being decreased by 12 points. The Patient and Observer Scar Assessment Scale mean scores, according to the patient/observer, are 3.8/2.5 for inframammary scars and 4.4/3.1 for periareolar scars. Conclusions: In this study, we discovered that aesthetic breast augmentation with nanotextured silicone-filled breast implants is associated with significantly higher scores for patient satisfaction, which indicates an improvement in women’s QOL.

Quantitative evaluation of pediatric umbilical loop stomas: Two decades of experience from a single institution

“…In this study, the MSS and POSAS were used to evaluate the cosmetic outcomes. The cosmetic outcomes of surgical scars and QOL are often related in adults [21][22][23]. Brown reported that the clinician's objective scar rating differed signi cantly from the patient-rated scar severity in adult patients (> 16 years) with heterogenous types of scars presenting at an outpatient department, and that the latter rating correlated with subjective psychological distress [24].…”

Discussion: Patient-Reported Satisfaction and Health-Related Quality of Life in Patients with Breast Augmentation: A Follow-Up of 6 Months

“…2 Luong et al found, like in other studies, that physical well-being suffered relative to baseline at the study endpoint of 6 months. [3][4][5][6] It was hypothesized that patients tolerate some discomfort in exchange for significant gains in appearance and psychosocial and sexual well-being.…”

“…1 This study joins the literature including other published studies using the BREAST-Q to assess improvement in QoL with breast augmentation surgery. [2][3][4][5][6][7][8] This multicenter/multisurgeon study from the Netherlands is the largest of these studies performed to date, investigating 1405 patients treated from August of 2016 to September of 2021. Although all implants were silicone and textured, and placed through an inframammary fold incision, implants varied in volume and plane of placement, including subglandular, subfascial, and submuscular approaches.…”