Factors Affecting Patient Satisfaction in Breast Reduction Surgeries: A Retrospective Clinical Study

Ozbey, Rafet; Cansel, Neslihan; Fırat, Cemal; Baydemir, Muhammed Bedir

doi:10.1007/s00266-021-02354-9

Cited by 9 publications

(3 citation statements)

References 24 publications

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“…33 Interestingly, the best predictors of patient satisfaction and quality of life following reduction mammaplasty relate to the discussions and expectations before surgery, and achieving a desired cosmetic result. 38 Echoing the prior literature, there were no differences in the quality-of-life measurements in the current study, despite significantly lower narcotic use and slightly lower pain scores among those in the dexamethasone group. This indicates that the preoperative consultation and surgical result are more influential on the patient’s perceived quality of life than the recovery and pain of surgery.…”

Section: Discussionsupporting

confidence: 66%

Enhanced Pain Control after Reduction Mammaplasty with Combination Bupivacaine and Dexamethasone Regional Block: A Double-Blind Randomized Controlled Trial (NCT04919317)

Taylor

Panichella

Neusner

et al. 2023

Plastic &Amp; Reconstructive Surgery

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eduction mammaplasty is the seventh most common plastic surgical procedure performed worldwide, with over 600,000 cases performed in 2019. 1 Despite its prevalence, pain control following this procedure remains a challenge. 2,3 Preemptive analgesia commonly administered by means of a preoperative modified block of the pectoral nerves (PECS II) 4 or a serratus plane block using bupivacaine has been shown to greatly improve postoperative pain and decrease in-hospital narcotic use. 5 Bupivacaine (0.5%) is relatively cheap in bulk at $0.07/mL, 6 but its actions may Background: There are many approaches to pain control in reduction mammaplasty. Preoperative bupivacaine regional blocks control pain relatively inexpensively ($0.07/mL), but last only 8 hours. A liposomal bupivacaine formulation lasts 72 hours but can be costly ($17.21/mL). Orthopedic and thoracic operations have demonstrated that dexamethasone ($0.44/mL) plus bupivacaine can prolong analgesia. The authors conducted a double-blind, randomized, controlled trial to determine whether dexamethasone plus bupivacaine regional block improves postoperative pain control, reduces inpatient narcotic use, and improves patient satisfaction. Methods: Female patients were randomized into control and experimental groups. Both groups received preoperative modified block of the pectoral nerves: bupivacaine plus saline (control group) or bupivacaine plus dexamethasone (experimental group). Postoperative pain regimens were standardized. Vital signs, pain scores, narcotic consumption, and antiemetic use were recorded throughout the hospitalization. Quality-of-life surveys were distributed at the first postoperative visit.Results: Fifty-one patients completed the study: 25 control and 26 experimental group patients. The experimental group averaged lower pain scores, although there was no statistically significant difference overall or at each 4-hour interval. Postoperative narcotic use was significantly lower in the experimental group (mean, 23.2 oral morphine equivalents versus 36.6 oral morphine equivalents per patient; P = 0.026). There were no differences in 4-hour interval vital signs, antiemetic use, or length of stay. Survey results showed enhanced quality of life in the experimental group, but this was not statistically significant. Conclusions: The addition of dexamethasone to bupivacaine in the preoperative modified block of the pectoral nerves block before bilateral reduction mammaplasty resulted in significantly less narcotic consumption in the hospital. This can be a costeffective adjunct for postoperative pain control.

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Section: Discussionsupporting

confidence: 66%

Enhanced Pain Control after Reduction Mammaplasty with Combination Bupivacaine and Dexamethasone Regional Block: A Double-Blind Randomized Controlled Trial (NCT04919317)

Taylor

Panichella

Neusner

et al. 2023

Plastic &Amp; Reconstructive Surgery

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“…Plastic surgeons also use patient satisfaction surveys and questionnaires to quantify patient opinion, which tend to be subjective. 1 Medical photography is a mainstay of two-dimensional (2D) imaging in plastic surgery and provides clinical data points both before and after surgery in addition to being relatively inexpensive. 2 However, 2D imaging does not offer important topographic measurements such as breast volume, which are being viewed as more essential to surgical planning and aesthetic prediction.…”

mentioning

confidence: 99%

“…VSP utilizing multiple fixed cameras range in cost and sophistication from the simple use of 3D images as a discussion and planning tool to the development of 3D-printed models. 1 , 3 , 4 …”

mentioning

confidence: 99%

Initial Assessment of VECTRA Three-Dimensional Imaging to Accurately Simulate Breast Volume Changes in Transfeminine Patients: A Mannequin Study

López

Panton

Nagarkar

et al. 2023

Aesthetic Surgery Journal Open Forum

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Background Methods that aim to accurately measure and predict breast development can be utilized in gender-affirming treatment planning, patient education, and research. Objectives The authors sought to evaluate whether three-dimensional (3D) stereophotogrammetry accurately measures transfeminine breast volume changes on a masculine frame when simulating anticipated changes in soft tissue after gender-affirming surgical therapy. Then, we describe the innovative application of this imaging modality in a transgender patient to illustrate the potential role of 3D imaging in gender-affirming surgical care. Methods A 3D VECTRA scanner (Canfield, Fairfield, NJ) was used to measure anthropometric breast measurements. Postoperative changes in breast volume were simulated on a cardiopulmonary resuscitation (CPR) mannequin using 450cc MENTOR breast implants (Mentor Worldwide LLC, Irvine, CA). To demonstrate the ability of the VECTRA to accurately simulate transfeminizing augmentation in practice, we describe its use in a 30-year-old transgender female with a 2-year history of gender-affirming hormone therapy, presenting for gender-affirming surgical care. Results In the mannequin, mean breast volumes were 382 cc on the right (range 375–388 cc), and 360 cc on the left (range 351–366 cc). The average calculated difference in volume between the two sides was 22 cc (range 17–31 cc). There were no instances where the left side was calculated to be larger than the right or where the calculated size was smaller than the actual implant size. Conclusions The VECTRA 3D camera is a reliable and reproducible tool for preoperative assessment, surgical planning, and simulating breast volume changes after gender-affirming surgery.

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Correlation Between General Satisfaction with the Breasts and Appearance of the Scars in Patients Undergoing Inverted T-Scar Reduction Mammaplasty: A Prospective PROMs-Based Study

Marangi,

Gratteri,

Mirra

et al. 2024

Aesth Plast Surg

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Factors Affecting Patient Satisfaction in Breast Reduction Surgeries: A Retrospective Clinical Study

Cited by 9 publications

References 24 publications

Enhanced Pain Control after Reduction Mammaplasty with Combination Bupivacaine and Dexamethasone Regional Block: A Double-Blind Randomized Controlled Trial (NCT04919317)

Enhanced Pain Control after Reduction Mammaplasty with Combination Bupivacaine and Dexamethasone Regional Block: A Double-Blind Randomized Controlled Trial (NCT04919317)

Initial Assessment of VECTRA Three-Dimensional Imaging to Accurately Simulate Breast Volume Changes in Transfeminine Patients: A Mannequin Study

Correlation Between General Satisfaction with the Breasts and Appearance of the Scars in Patients Undergoing Inverted T-Scar Reduction Mammaplasty: A Prospective PROMs-Based Study

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