Improvement in Quality of Life and Self-Esteem After Breast Reduction Surgery

Mello, Arnaldo A.; Domingos, Neide Aparecida Micelli; Miyazaki, Maria Cristina de Oliveira Santos

doi:10.1007/s00266-009-9409-x

Cited by 68 publications

(48 citation statements)

References 30 publications

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“…In all 8 domains of HRQOL covered in the SF-36, subjects with macromastia scored lower than control subjects. Our results correspond with findings in adult studies 1,4,11,24,35,37 and suggest that macromastia negatively affects both the physical and mental aspects of a young woman's health. BMI category did not impact the effect of macromastia for 7 of 8 SF-36 domains.…”

Section: Discussionsupporting

confidence: 81%

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The Impact of Macromastia on Adolescents: A Cross-Sectional Study

Cerrato

Webb²,

Rosen³

et al. 2012

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: Macromastia is associated with severe physical and emotional symptoms and negatively impacts health-related quality of life in adult women. Reduction mammaplasty is the most effective treatment for adults. Little is known regarding the impact of macromastia during adolescence.WHAT THIS STUDY ADDS: Adolescents with macromastia have impaired health-related quality of life, lower self-esteem, more breastrelated symptoms, and are at higher risk for disordered eating in comparison with their peers. These negative health outcomes have implications for early intervention in this patient population. abstract OBJECTIVE: To determine the physical and psychosocial impact of macromastia on adolescents considering reduction mammaplasty in comparison with healthy adolescents. METHODS:The following surveys were administered to adolescents with macromastia and control subjects, aged 12 to 21 years: ShortForm 36v2, Rosenberg Self-Esteem Scale, Breast-Related Symptoms Questionnaire, and Eating-Attitudes Test-26 (EAT-26). Demographic variables and self-reported breast symptoms were compared between the 2 groups. Linear regression models, unadjusted and adjusted for BMI category (normal weight, overweight, obese), were fit to determine the effect of case status on survey score. Odds ratios for the risk of disordered eating behaviors (EAT-26 score $20) in cases versus controls were also determined. RESULTS:Ninety-six subjects with macromastia and 103 control subjects participated in this study. Age was similar between groups, but subjects with macromastia had a higher BMI (P = .02). Adolescents with macromastia had lower Short-Form 36v2 domain, Rosenberg Self-Esteem Scale, and Breast-Related Symptoms Questionnaire scores and higher EAT-26 scores compared with controls. Macromastia was also associated with a higher risk of disordered eating behaviors. In almost all cases, the impact of macromastia was independent of BMI category.CONCLUSIONS: Macromastia has a substantial negative impact on health-related quality of life, self-esteem, physical symptoms, and eating behaviors in adolescents with this condition. These observations were largely independent of BMI category. Health care providers should be aware of these important negative health outcomes that are associated with macromastia and consider early evaluation for adolescents with this condition. Pediatrics 2012;130:e339-e346 AUTHORS:

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Section: Discussionsupporting

confidence: 81%

“…Survey selection was based on a review of tools that had been previously used in adult macromastia research and in adolescent and young adult samples. 1,[4][5][6]10,11,18,25,30,[35][36][37][38][39][40][41][42] Participants completed the surveys independently either in clinic or at home.…”

Section: Methodsmentioning

confidence: 99%

The Impact of Macromastia on Adolescents: A Cross-Sectional Study

Cerrato

Webb²,

Rosen³

et al. 2012

Pediatrics

View full text Add to dashboard Cite

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“…All the patients reported that before surgery they had a poor image of themselves, but after surgery they had a positive self image and their quality of life had improved since they could now go about their normal duties without developing any ill-feeling such as depression and anxiety. Similarly, Mello et al (2010) stated in their study that bothself esteem and quality of life significantly improved after breast reduction surgery [26]. Blomqvist et al (2000) also stated in their finding that reduction mammaplasty resulted in significantly improved quality of life [27].…”

Section: Psychological Complicationsmentioning

confidence: 84%

A Long Term Review of Surgically Treated Enlarged Breasts

Agbenorku¹

2013

MPS

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Introduction: Breast hypertrophy (excessive enlargement of breast), a condition though rare, is well pronounced in some females. Surgery either by reduction mammaplasty or sub-cutaneous mastectomy is often employed in treatment of this condition. Aim: This study seeks to find out the long term level of satisfaction of the surgery on these persons after about 10 -12 years after treatment. Materials and Methods: From January 1994 to December 2000, the Komfo Anokye Teaching Hospital (KATH) carried out surgeries on 43 females who presented with several degrees of breast hypertrophy. Patients were asked to answer questionnaires on their condition pre-operatively and post-operatively during the long term review process. Results: Thirty-four (79.1%) patients out of the 43 were available for the review with the patients stating there was much (100%) improvement in terms of the pain they felt in the neck, upper and lower back regions. There was no re-occurrence of the condition in any of the patients; 29 (85.3%) stated they were satisfied and that their new breast size(s) was/were excellent for them. Conclusion: The pre-operative complications experienced by these patients were resolved hence this surgical procedure was good and the quality of life of these persons had been improved.

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“…Also, the mean age of the patients of this study was greater than in the original questionnaire study, and it has been reported that older patients with mammary hypertrophy complain primarily of pain, whereas younger patients are concerned mainly with physical appearance. 9,37 Another difference from the original questionnaire is that a floor effect was not seen and the ceiling effect was limited to pain and poor self-concept subscales in a tolerable amount. This may have resulted from the fact that all patients were given verbal reinforcement about the details of the scale before the application of the questionnaire.…”

Section: Discussionmentioning

confidence: 96%

“…2-8 However, health insurance companies are reluctant to provide financial coverage for mammary reduction surgery and have become apt to require new, more restrictive conditions to be met in order for a patient to be eligible for the surgery; in Turkey, mammary reduction is most often considered a cosmetic operation and represents a growing financial burden for these patients. [9][10][11] Patient-reported outcome (PRO) measures is a term that applies specifically to a questionnaire used in a clinical or research setting where responses are collected directly from patients. A good PRO measure can capture the impact of disease, trauma, or health care intervention on various aspects of a patient's life.…”

mentioning

confidence: 99%