BACKGROUND: The objective of this study was to gain a better understanding of the magnitude of clinical change in health-related quality of life and patient satisfaction brought about by cosmetic breast augmentation. METHODS: A prospective, longitudinal study was performed. Women undergoing cosmetic breast augmentation were asked to complete the BREAST-Q Augmentation module both before and after augmentation. Before and after group-level comparisons included paired t tests and effect size statistics. The responsiveness of the BREAST-Q scales was also compared at the individual person level by computing, for each and every person, the significance of her own change in measurement. RESULTS: A total of 41 patients completed the BREAST-Q before and after augmentation. Patients reported that "satisfaction with breasts," "psychosocial well-being," and "sexual well-being" were significantly higher following augmentation compared with preoperative levels (p = 0.00, p = 0.00, and p = 0.00, respectively). These statistically significant change scores were associated with large effect sizes (d = 2.4, 1.7, and 1.9, respectively). Significant improvements in satisfaction with breasts, psychosocial well-being, and sexual functioning were seen in 38 (83 percent), 36 (88 percent), and 33 (81 percent) of individuals, respectively. CONCLUSIONS: These findings suggest that the BREAST-Q Augmentation module detected significant benefits of breast augmentation surgery, as assessed by both group-level and individual-level responsiveness indices. Importantly, this finding strongly supports the hypothesis that cosmetic breast augmentation can have a significant and profound positive impact on a woman's satisfaction with her breasts and her psychosocial and sexual well-being. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
BACKGROUND: The objective of this study was to gain a better understanding of the magnitude of clinical change in health-related quality of life and patient satisfaction brought about by cosmetic breast augmentation. METHODS: A prospective, longitudinal study was performed. Women undergoing cosmetic breast augmentation were asked to complete the BREAST-Q Augmentation module both before and after augmentation. Before and after group-level comparisons included paired t tests and effect size statistics. The responsiveness of the BREAST-Q scales was also compared at the individual person level by computing, for each and every person, the significance of her own change in measurement. RESULTS: A total of 41 patients completed the BREAST-Q before and after augmentation. Patients reported that "satisfaction with breasts," "psychosocial well-being," and "sexual well-being" were significantly higher following augmentation compared with preoperative levels (p = 0.00, p = 0.00, and p = 0.00, respectively). These statistically significant change scores were associated with large effect sizes (d = 2.4, 1.7, and 1.9, respectively). Significant improvements in satisfaction with breasts, psychosocial well-being, and sexual functioning were seen in 38 (83 percent), 36 (88 percent), and 33 (81 percent) of individuals, respectively. CONCLUSIONS: These findings suggest that the BREAST-Q Augmentation module detected significant benefits of breast augmentation surgery, as assessed by both group-level and individual-level responsiveness indices. Importantly, this finding strongly supports the hypothesis that cosmetic breast augmentation can have a significant and profound positive impact on a woman's satisfaction with her breasts and her psychosocial and sexual well-being. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
Authors: Wess A Cohen; Lily R Mundy; Tiffany N S Ballard; Anne Klassen; Stefan J Cano; John Browne; Andrea L Pusic Journal: J Plast Reconstr Aesthet Surg Date: 2015-11-26 Impact factor: 2.740
Authors: Anne F Klassen; Stefan J Cano; Charles A East; Stephen B Baker; Lydia Badia; Jonathan A Schwitzer; Andrea L Pusic Journal: JAMA Facial Plast Surg Date: 2016 Jan-Feb Impact factor: 4.611
Authors: Kai M M Saariniemi; Asko M Salmi; Hilkka H Peltoniemi; Pia Charpentier; Hannu O M Kuokkanen Journal: Plast Reconstr Surg Glob Open Date: 2015-08-10