Self-Esteem and Functional Capacity Outcomes Following Reduction Mammaplasty

Neto, Miguel Sabino; Demattê, Maria Fernanda; Freire, Marcia; Garcia, Élvio Bueno; Quaresma, Marina Rodrigues; Ferreira, Lydia Masako

doi:10.1016/j.asj.2008.04.006

Cited by 67 publications

(56 citation statements)

References 10 publications

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“…This pain in the neck region reported by this patient might be caused by another disease or condition other than the breast pathology. Sabino (2008) stated reduction mammaplasty relieved pain in the lower back region in patients with breast hypertrophy [18]. Relief from the pre-operative complications by patients in the current study is confirmed in a similar study by Davis et al (1995); they found out that reduction mammaplasty decreased breast size and significantly relieved pre-operative symptoms associated with mammary hypertrophy [19].…”

Section: Physiological Complicationssupporting

confidence: 79%

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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Section: Physiological Complicationssupporting

confidence: 79%

A Long Term Review of Surgically Treated Enlarged Breasts

Agbenorku¹

2013

MPS

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“…Several randomised studies have proved the effects of breast reduction surgery (1)(2)(3)(4)(5)(6). Surprisingly the tient anxiety or depression (15,16).…”

Section: Introductionmentioning

confidence: 99%

The Outcome of Reduction Mammaplasty is Affected More by Psychosocial Factors Than by Changes in Breast Dimensions

2011

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Background and Aims: Several randomised studies have proved the effects of breast reduction surgery. However, search for predictive factors has not been successful. Therefore we decided to analyse breast dimension changes and to see whether these, or patient characteristics or individual psychosocial factors have an effect on the outcome.Material and Methods: Twenty-nine patients were assessed at baseline and at six months follow-up. Outcome measures used were two health-related quality of life questionnaires, a breast-associated symptoms questionnaire, a pain-rating questionnaire, and a mood questionnaire. Detailed breast dimensions were recorded. Forward stepwise linear regression was applied to detect possible associations between outcome measure changes and breast dimensions or patient-related factors.Results: Preoperatively anxious patients had more improvement in the quality of life index scores, but less improvement in the mental health scores when compared to patients not anxious. Patients with physically demanding work had more improvement in the quality of life index scores and a trend to less improvement in the mental health scores when compared to patients with physically less stressful work. Patients with no overweight had a trend to better improvement in self-esteem.Conclusions: The outcome of reduction mammaplasty is affected more by psychosocial factors than by changes in breast dimensions.

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“…Reduction mammaplasty, surgical reduction of breast size, is the most effective means of improving symptoms and HRQOL in adults. 2,4,[6][7][8]13,14,[16][17][18][19][20][21][22][23][24][25] However, many parents and physicians are reluctant to consider surgical correction for adolescents. 26,27 Data on the impact of macromastia on younger patients are needed to better inform health care providers, patients, and families in making appropriate treatment decisions.…”

mentioning

confidence: 99%

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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Self-Esteem and Functional Capacity Outcomes Following Reduction Mammaplasty

Abstract: Reduction mammaplasty improved self-esteem and functional capacity and relieved pain in the lower back region in patients with breast hypertrophy.

Cited by 67 publications

References 10 publications

A Long Term Review of Surgically Treated Enlarged Breasts

A Long Term Review of Surgically Treated Enlarged Breasts

The Outcome of Reduction Mammaplasty is Affected More by Psychosocial Factors Than by Changes in Breast Dimensions

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

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