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26-07-2023 | Breast Augmentation | Original Articles

Impact of Incisional Access Site in Primary Breast Augmentation: Evaluation of Patient Satisfaction with SCAR-Q

Authors: Marco Gratteri, Giovanni Francesco Marangi, Carlo Mirra, Lucrezia Arcari, Fara Desiree Romano, Andrea Cimmino, Annalisa Cogliandro, Barbara Cagli, Francesco Segreto, Paolo Persichetti

Published in: Aesthetic Plastic Surgery | Issue 8/2024

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Scarring at the incision site represents one of the most impactful outcomes in breast augmentation surgery for both the patient and the surgeon. Few studies exist with the aim of assessing patient perception of scarring outcomes in primary breast augmentation. The aim of this study was to evaluate the impact on quality of life of scars by submitting the SCAR-Q in patients who underwent primary augmentation mammoplasty.


The SCAR-Q was administered at one and at 6 months after surgery to 54 consecutive patients underwent primary breast augmentation with inferior hemi-periareolar or inframammary incision. A total of 50 patients were divided into two groups of 21 patients with inferior hemi-periareolar incision and 29 patients with inframammary fold incision, respectively. Statistical analysis was performed with Prism 9.


All mean values of the three SCAR-Q scales tend to decrease at the second administration meaning that the perception of the scar is better at time 6 from the patient perspective. In the “Psychosocial scale,” lower values at both 1 month and 6 months for group 2 compared to group 1 were shown. Unpaired T tests with Welch’s correction showed significance for delta values variations between the two groups with P values <0.0001.


Data show that patients undergoing primary breast augmentation have a scar that has no significant impact. Patients with inframammary fold scar have less psychosocial impact than those with inferior hemi-periareolar scar. There were no statistically significant differences in scar-related symptoms and scar appearance between scar along the inframammary groove and inferior hemi-periareolar scar.

Level of Evidence IV

Case series study. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors  www.​springer.​com/​00266.
Impact of Incisional Access Site in Primary Breast Augmentation: Evaluation of Patient Satisfaction with SCAR-Q
Marco Gratteri
Giovanni Francesco Marangi
Carlo Mirra
Lucrezia Arcari
Fara Desiree Romano
Andrea Cimmino
Annalisa Cogliandro
Barbara Cagli
Francesco Segreto
Paolo Persichetti
Publication date
Springer US
Published in
Aesthetic Plastic Surgery / Issue 8/2024
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241

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