Reduction mammaplasty improves levels of anxiety, depression and body image satisfaction in patients with symptomatic macromastia in the short and long term

Pérez-Panzano, Esther; Gascón-Catalán, Ana; Sousa-Domínguez, Ramón; Carrera‐Lasfuentes, Patricia; Garcı́a-Campayo, Javier; Güemes-Sánchez, Antonio

doi:10.1080/0167482x.2016.1270936

Cited by 31 publications

(37 citation statements)

References 24 publications

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“…Increasing breast size, noted by women as they get older, may be particularly problematic for women’s health and psychological wellbeing if the burden associated with large breasts that has been suggested in prior work is considered. Increased breast size has previously been related to reduced health and psychological wellbeing in studies of women undergoing reduction mammoplasty surgery where a range of negative physical 12–14 and psychological characteristics 13–22 have been attributed to having large or excessively large (hypertrophic) breasts. Characteristics that have been most widely examined and which show improvement following reduction mammoplasty include low quality of life, 16,17,19,21,23 body dissatisfaction, 15 low breast satisfaction, 16,19,24 depression, 18,20 upper back pain 14,25 and physical activity limitations.…”

Section: Introductionmentioning

confidence: 99%

The relationship between breast size and aspects of health and psychological wellbeing in mature-aged women

Spencer

Fary

McKenna

et al. 2020

Womens Health (Lond Engl)

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Objectives: Increases in breast size with age are common but have not been widely examined as a factor that could affect the health and psychological wellbeing of mature-aged women. The purpose of this study was to examine the relationships between breast size and aspects of health and psychological wellbeing in mature-aged women. Methods: This was a cross-sectional study of mature-aged women (⩾40 years). Breast size (breast size score) was determined from self-reported bra size and was examined against health-related quality of life (Medical Outcomes Study Short-Form 36 and BREAST-Q), body satisfaction (numerical rating scale), breast satisfaction (BREAST-Q), physical activity levels (Human Activity Profile), the presence of upper back pain and breast and bra fit perceptions. Results: Two hundred sixty-nine women (40–85 years) with bra band sizes ranging from 8 to 26 and bra cup sizes from A to HH participated. The mean (standard deviation) breast size score of 7.7 (2.7) was equivalent to a bra size of 14DD. Increasing breast size was associated with significantly lower breast-related physical wellbeing ( p < 0.001, R2 = 0.043) and lower ratings of body ( p = 0.002, R2 = 0.024) and breast satisfaction ( p < 0.001, R2 = 0.065). Women with larger breasts were more likely to be embarrassed by their breasts (odds ratio: 1.49, 95% confidence interval: 1.31 to 1.70); more likely to desire a change in their breasts (odds ratio: 1.55, 95% confidence interval: 1.37 to 1.75) and less likely to be satisfied with their bra fit (odds ratio: 0.84, 95% confidence interval: 0.76 to 0.92). Breast size in addition to age contributed to explaining upper back pain. For each one-size increase in breast size score, women were 13% more likely to report the presence of upper back pain. Conclusion: Larger breast sizes have a small but significant negative relationship with breast-related physical wellbeing, body and breast satisfaction. Larger breasts are associated with a greater likelihood of upper back pain. Clinicians considering ways to improve the health and psychological wellbeing of mature-aged women should be aware of these relationships.

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Section: Introductionmentioning

confidence: 99%

The relationship between breast size and aspects of health and psychological wellbeing in mature-aged women

Spencer

Fary

McKenna

et al. 2020

Womens Health (Lond Engl)

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“…1 The indications for reduction mammaplasty include aesthetic concerns and therapeutic reasons such as decrease of breast weight for treatment of complaints of breast and skeletal pain (mainly back and neck pain), 2,3 ptosis, intertriginous skin disorders of the inter-or sub-mammary fold, and psychological disorders. 4,5 When performed for therapeutic reasons, bilateral reduction mammaplasty is one of the few plastic surgeries that health insurance providers in many countries will recognise and routinely pay for. 6,7 Over the years, reduction mammaplasty techniques have been continually modified and refined to enhance aesthetic outcomes with minimal scarring and fewer complications.…”

Section: Introductionmentioning

confidence: 99%

“…The combination of removing breast fat, glandular tissue, and skin allows the surgeon to decrease breast weight and restructure the breast to a more pleasing appearance 1 . The indications for reduction mammaplasty include aesthetic concerns and therapeutic reasons such as decrease of breast weight for treatment of complaints of breast and skeletal pain (mainly back and neck pain), 2,3 ptosis, intertriginous skin disorders of the inter‐ or sub‐mammary fold, and psychological disorders 4,5 . When performed for therapeutic reasons, bilateral reduction mammaplasty is one of the few plastic surgeries that health insurance providers in many countries will recognise and routinely pay for 6,7 …”

Section: Introductionmentioning

confidence: 99%

Bilateral reduction mammaplasty with pulsed electron avalanche knife PlasmaBlade™ and conventional electrosurgical surgery: A retrospective, randomised controlled clinical trial

Schlosshauer

Kiehlmann

Rothenberger

et al. 2020

International Wound Journal

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Wound‐healing disorders are common complications in bilateral reduction mammaplasty. Traditional electrosurgical devices generate large amounts of thermal energy, often causing extensive thermal‐related collateral tissue damage. This study aimed to retrospectively analyse the operative performance of a novel low‐thermal plasma dissection device (pulsed electron avalanche knife—PEAK PlasmaBlade™) compared with traditional electrosurgery. Twenty patients with breast hypertrophy were randomly treated with PEAK PlasmaBlade™ on one breast and conventional electrosurgery on the other. Primary outcome measures were resection weight, drain duration, total drainage volume, and drain output on the first postoperative day. Breasts treated with PEAK PlasmaBlade™ had significantly higher resection weights (728.0 ± 460.1 g vs 661.6 ± 463.4 g; P = .038), significantly lower drain output on the first postoperative day (15.9 ± 15.2 mL vs 27.6 ± 23.5 mL; P = .023), and significantly lower drain durations (2.8 ± 1.0 days vs 3.3 ± 1.0 days; P = .030). Mean total drainage volume was lower where breast reduction was performed with PEAK PlasmaBlade™, but this difference was not significant. No major complications occurred, but wound‐healing disorders were documented in almost one‐third of the patients (35.0%, n = 7). The PEAK PlasmaBlade™ seems to be superior to conventional electrosurgery for bilateral reduction mammaplasty in terms of tissue damage and wound healing.

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“…Reduction mammaplasty can alleviate the psychological impact of symptomatic macromastia. We have no doubt that this type of surgery, when indicated, provides physical and psychological relief to patients [21]. The results of this study indicate significant improvements in healthrelated QOL at 4 months after breast reduction in a population of patients with macromastia.…”

Section: Discussionmentioning

confidence: 62%

Use of Ultrasound-Assisted Liposuction for the Treatment of Breast Hypertrophy, Surgical Clinical Prospective Study on 45 Cases

2018

Medical &Amp; Clinical Research

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Breasts are a very important part of the woman's body. They have always been considered as a zone impregnated with sensuality and are inevitably associated with feminine harmony and beauty. There is No ideal breast size and beauty standards vary greatly from one person to another. In any case, the most important thing is that the woman feels at comfort with her breasts, that she feels in balance with her body and if that is not the case to seek a medical solution.

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Reduction mammaplasty improves levels of anxiety, depression and body image satisfaction in patients with symptomatic macromastia in the short and long term

Abstract: Reduction mammaplasty can alleviate the psychological impact of symptomatic macromastia.

Cited by 31 publications

References 24 publications

The relationship between breast size and aspects of health and psychological wellbeing in mature-aged women

The relationship between breast size and aspects of health and psychological wellbeing in mature-aged women

Bilateral reduction mammaplasty with pulsed electron avalanche knife PlasmaBlade™ and conventional electrosurgical surgery: A retrospective, randomised controlled clinical trial

Use of Ultrasound-Assisted Liposuction for the Treatment of Breast Hypertrophy, Surgical Clinical Prospective Study on 45 Cases

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