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Published in: Aesthetic Plastic Surgery 1/2010

01-02-2010 | Original Article

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

Authors: Arnaldo A. Mello, Neide A. M. Domingos, M. Cristina Miyazaki

Published in: Aesthetic Plastic Surgery | Issue 1/2010

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Abstract

Background

Breast reduction surgery is sought by patients who have physical and psychological symptoms. This study assessed the quality of life and self-esteem before and after breast reduction surgery.

Methods

Thirty patients with a diagnosis of mammary hypertrophy who were consecutively selected to undergo breast reduction and aged between 18 and 54 years (mean = 32.65 years, SD = 9.87) participated in the study. Diagnosis was performed by breast measurements associated with symptoms related to excessive breast size. Patients completed the SF-36 Quality of Life Inventory and Rosenberg Self-Esteem Scale before the procedure and 30 and 120 days after surgery. The nonparametric sign test and Fisher’s exact test were used to analyze the data.

Results

There was significant improvement (p ≤ 0.05) in all domains of quality of life and in self-esteem when scores before and after surgery were compared.

Conclusion

Both self-esteem and quality of life significantly improved after breast reduction surgery.
Literature
1.
go back to reference Araújo CDM, Gomes HC, Veiga DF et al (2007) Influência da Hipertrofia Mamária na Capacidade Funcional de Mulheres. Rev Bras Reumatol 47:91–96CrossRef Araújo CDM, Gomes HC, Veiga DF et al (2007) Influência da Hipertrofia Mamária na Capacidade Funcional de Mulheres. Rev Bras Reumatol 47:91–96CrossRef
2.
go back to reference Iwuagwu OC, Walker LG, Stanley PW, Hart NB, Platt AJ, Drew PJ (2006) Randomized clinical trial examining psychosocial and quality of life benefits of bilateral breast reduction surgery. Br J Surg 93:291–294CrossRefPubMed Iwuagwu OC, Walker LG, Stanley PW, Hart NB, Platt AJ, Drew PJ (2006) Randomized clinical trial examining psychosocial and quality of life benefits of bilateral breast reduction surgery. Br J Surg 93:291–294CrossRefPubMed
3.
go back to reference Borkenhagen A, Rohricht F, Schneider W, Brahler E (2007) Changes in body image and health-related quality of life following breast reduction surgery in German macromastia patients: a new tool for measuring body image changes. Ann Plast Surg 58:364–370CrossRefPubMed Borkenhagen A, Rohricht F, Schneider W, Brahler E (2007) Changes in body image and health-related quality of life following breast reduction surgery in German macromastia patients: a new tool for measuring body image changes. Ann Plast Surg 58:364–370CrossRefPubMed
4.
go back to reference Saariniemi KM, Keranen UH, Salminen-Peltola PK, Kuokkanen HO (2008) Reduction mammaplasty is effective treatment according to two quality of life instruments. A prospective randomized clinical trial. J Plast Reconstr Aesthet Surg 61:1472–1478CrossRefPubMed Saariniemi KM, Keranen UH, Salminen-Peltola PK, Kuokkanen HO (2008) Reduction mammaplasty is effective treatment according to two quality of life instruments. A prospective randomized clinical trial. J Plast Reconstr Aesthet Surg 61:1472–1478CrossRefPubMed
5.
go back to reference Nguyen JT, Wheatley MJ, Schnur PL, Nguyen TA, Winn SR (2008) Reduction mammaplasty: a review of managed care medical policy coverage criteria. Plast Reconstr Surg 121:1092–1100CrossRefPubMed Nguyen JT, Wheatley MJ, Schnur PL, Nguyen TA, Winn SR (2008) Reduction mammaplasty: a review of managed care medical policy coverage criteria. Plast Reconstr Surg 121:1092–1100CrossRefPubMed
6.
go back to reference Ferreira LM (2004) Cirurgia plástica: uma abordagem antroposófica. RBCP 19:37–40 Ferreira LM (2004) Cirurgia plástica: uma abordagem antroposófica. RBCP 19:37–40
7.
go back to reference Grossbart TA, Sarwer DB (2003) Psychosocial issues and their relevance to the cosmetic surgery patient. Semin Cutan Med Surg 22:136–147CrossRefPubMed Grossbart TA, Sarwer DB (2003) Psychosocial issues and their relevance to the cosmetic surgery patient. Semin Cutan Med Surg 22:136–147CrossRefPubMed
8.
go back to reference Honigman RJ, Phillips KA, Castle DJ (2004) A review of psychosocial outcomes for patients seeking cosmetic surgery. Plast Reconstr Surg 113:1229–1237CrossRefPubMed Honigman RJ, Phillips KA, Castle DJ (2004) A review of psychosocial outcomes for patients seeking cosmetic surgery. Plast Reconstr Surg 113:1229–1237CrossRefPubMed
9.
go back to reference Pusic AL, Chen CM, Cano S, Klassen A, McCarthy C, Collins ED, Cordeiro PG (2007) Measuring quality of life in cosmetic and reconstructive breast surgery: a systematic review of patient-reported outcome instruments. Plast Reconstr Surg 120:823–837CrossRefPubMed Pusic AL, Chen CM, Cano S, Klassen A, McCarthy C, Collins ED, Cordeiro PG (2007) Measuring quality of life in cosmetic and reconstructive breast surgery: a systematic review of patient-reported outcome instruments. Plast Reconstr Surg 120:823–837CrossRefPubMed
10.
go back to reference Sabino Neto M, Demattê MF, Freire M, Garcia EB, Quaresma M, Ferreira LM (2008) Self-esteem and functional capacity outcomes following reduction mammaplasty. Aesthet Surg J 4:417–420CrossRef Sabino Neto M, Demattê MF, Freire M, Garcia EB, Quaresma M, Ferreira LM (2008) Self-esteem and functional capacity outcomes following reduction mammaplasty. Aesthet Surg J 4:417–420CrossRef
11.
go back to reference Soest T, Kvalem IL, Skolleborg KC, Roald HE (2006) Psychosocial factors predicting the motivation to undergo cosmetic surgery. Plast Reconstr Surg 117:51–62CrossRef Soest T, Kvalem IL, Skolleborg KC, Roald HE (2006) Psychosocial factors predicting the motivation to undergo cosmetic surgery. Plast Reconstr Surg 117:51–62CrossRef
12.
go back to reference Sacchini V, Luini A, Tana S, Lozza L, Galimberti V, Merson M, Agresti R, Veronesi P, Greco M (1991) Quantitative and qualitative cosmetic evaluation after conservative treatment for breast cancer. Eur J Cancer 27:1395–1400CrossRefPubMed Sacchini V, Luini A, Tana S, Lozza L, Galimberti V, Merson M, Agresti R, Veronesi P, Greco M (1991) Quantitative and qualitative cosmetic evaluation after conservative treatment for breast cancer. Eur J Cancer 27:1395–1400CrossRefPubMed
13.
go back to reference Monteiro CA, Mondini L, Sousa ALM, Popkin BM (1995) The nutrition transition in Brazil. Eur J Clin Nutr 49:105–113PubMed Monteiro CA, Mondini L, Sousa ALM, Popkin BM (1995) The nutrition transition in Brazil. Eur J Clin Nutr 49:105–113PubMed
14.
go back to reference Ciconelli RM, Ferraz MB, Santos W et al. (1999) Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev Bras Reumatol 39:143–150 Ciconelli RM, Ferraz MB, Santos W et al. (1999) Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev Bras Reumatol 39:143–150
15.
go back to reference Dabbah A, Lehman JA Jr, Parker MG, Tantri D, Wagner DS (1995) Reduction mammaplasty: an outcome analysis. Ann Plast Surg 35:337–341CrossRefPubMed Dabbah A, Lehman JA Jr, Parker MG, Tantri D, Wagner DS (1995) Reduction mammaplasty: an outcome analysis. Ann Plast Surg 35:337–341CrossRefPubMed
16.
go back to reference Pullmann H, Allik J (2000) The Rosenberg Self-Esteem Scale: its dimensionality, stability, and personality correlates in Estonian. Pers Individ Dif 28:701–715CrossRef Pullmann H, Allik J (2000) The Rosenberg Self-Esteem Scale: its dimensionality, stability, and personality correlates in Estonian. Pers Individ Dif 28:701–715CrossRef
18.
go back to reference Schwarsmann E (1930) Die technik der mammaplastik. Chirurg 2:932–940 Schwarsmann E (1930) Die technik der mammaplastik. Chirurg 2:932–940
19.
go back to reference Dini GM, Quaresma MR, Ferreira LM (2004) Adaptação cultural e validação da versão brasileira da escala de auto-estima de Rosenberg. RBCP 19:47–52 Dini GM, Quaresma MR, Ferreira LM (2004) Adaptação cultural e validação da versão brasileira da escala de auto-estima de Rosenberg. RBCP 19:47–52
20.
go back to reference Ching S, Thoma A, McCabe RE, Antony MM (2003) Measuring outcomes in aesthetic surgery: a comprehensive review of the literature. Plast Reconstr Surg 111:469–480CrossRefPubMed Ching S, Thoma A, McCabe RE, Antony MM (2003) Measuring outcomes in aesthetic surgery: a comprehensive review of the literature. Plast Reconstr Surg 111:469–480CrossRefPubMed
21.
go back to reference Chadbourne EB, Zhang S, Gordon MJ, Ro EY, Ross SD, Schnur PL, Schneider-Redden PR (2001) Clinical outcomes in reduction mammaplasty: a systematic review and meta-analysis of published studies. Mayo Clin Proc 76:503–510CrossRefPubMed Chadbourne EB, Zhang S, Gordon MJ, Ro EY, Ross SD, Schnur PL, Schneider-Redden PR (2001) Clinical outcomes in reduction mammaplasty: a systematic review and meta-analysis of published studies. Mayo Clin Proc 76:503–510CrossRefPubMed
22.
go back to reference Jones SA, Bain JR (2001) Review of data describing outcomes that are used to assess changes in quality of life after reduction mammaplasty. Plast Reconstr Surg 108:62–67CrossRefPubMed Jones SA, Bain JR (2001) Review of data describing outcomes that are used to assess changes in quality of life after reduction mammaplasty. Plast Reconstr Surg 108:62–67CrossRefPubMed
23.
go back to reference Chao JD, Memmel HC, Redding JF, Egan L, Odom LC, Casas LA (2002) Reduction mammaplasty is a functional operation, improving quality of life in symptomatic women: a prospective, single-center breast reduction outcome study. Plast Reconstr Surg 110:1644–1652CrossRefPubMed Chao JD, Memmel HC, Redding JF, Egan L, Odom LC, Casas LA (2002) Reduction mammaplasty is a functional operation, improving quality of life in symptomatic women: a prospective, single-center breast reduction outcome study. Plast Reconstr Surg 110:1644–1652CrossRefPubMed
24.
go back to reference Glatt BS, Sarwer DB, O’Hara DE, Hamori C, Bucky LP, LaRossa D (1999) A retrospective study of changes in physical symptoms and body image after reduction mammaplasty. Plast Reconstr Surg 103:76–82CrossRefPubMed Glatt BS, Sarwer DB, O’Hara DE, Hamori C, Bucky LP, LaRossa D (1999) A retrospective study of changes in physical symptoms and body image after reduction mammaplasty. Plast Reconstr Surg 103:76–82CrossRefPubMed
25.
go back to reference Netscher DT, Meade RA, Goodman CM, Brehm BJ, Friedman JD, Thornby J (2000) Physical and psychosocial symptoms among 88 volunteer subjects compared with patients seeking plastic surgery procedures to the breast. Plast Reconstr Surg 105:2366–2373CrossRefPubMed Netscher DT, Meade RA, Goodman CM, Brehm BJ, Friedman JD, Thornby J (2000) Physical and psychosocial symptoms among 88 volunteer subjects compared with patients seeking plastic surgery procedures to the breast. Plast Reconstr Surg 105:2366–2373CrossRefPubMed
26.
go back to reference Kamburoglu H, Ozgur F (2007) Postoperative satisfaction and the patient’s body image, life satisfaction, and self-esteem: a retrospective study comparing adolescent girls and boys after cosmetic surgery. Aesthetic Plast Surg 31:739–745CrossRefPubMed Kamburoglu H, Ozgur F (2007) Postoperative satisfaction and the patient’s body image, life satisfaction, and self-esteem: a retrospective study comparing adolescent girls and boys after cosmetic surgery. Aesthetic Plast Surg 31:739–745CrossRefPubMed
28.
go back to reference Jong RH (2001) Body mass index: risk predictor for cosmetic day surgery. Plast Reconstr Surg 108:556–561CrossRefPubMed Jong RH (2001) Body mass index: risk predictor for cosmetic day surgery. Plast Reconstr Surg 108:556–561CrossRefPubMed
29.
go back to reference Shakespeare V, Postle KA (1999) Qualitative study of patients’ views on the effects of breast-reduction surgery: a 2-year follow-up survey. Br J Plast Surg 52:198–204CrossRefPubMed Shakespeare V, Postle KA (1999) Qualitative study of patients’ views on the effects of breast-reduction surgery: a 2-year follow-up survey. Br J Plast Surg 52:198–204CrossRefPubMed
30.
go back to reference Kelly T, Yang W, Chen CS, Reynolds K, He J (2008) Global burden of obesity in 2005 and projections to 2030. Int J Obes 32:1431–1437CrossRef Kelly T, Yang W, Chen CS, Reynolds K, He J (2008) Global burden of obesity in 2005 and projections to 2030. Int J Obes 32:1431–1437CrossRef
31.
go back to reference Gonzalez F, Walton RL, Shafer B, Matory WE Jr, Borah GL (1993) Reduction mammaplasty improves symptoms of macromastia. Plast Reconstr Surg 91:1270–1276CrossRefPubMed Gonzalez F, Walton RL, Shafer B, Matory WE Jr, Borah GL (1993) Reduction mammaplasty improves symptoms of macromastia. Plast Reconstr Surg 91:1270–1276CrossRefPubMed
32.
33.
go back to reference Freire MAMS (2001) Impacto da mastoplastia redutora na qualidade de vida das pacientes com hipertrofia mamária. Dissertação de Mestrado, Escola Paulista de Medicina, São Paulo Freire MAMS (2001) Impacto da mastoplastia redutora na qualidade de vida das pacientes com hipertrofia mamária. Dissertação de Mestrado, Escola Paulista de Medicina, São Paulo
34.
go back to reference Collins ED, Kerrigan CL, Kim M, Lowery JC, Striplin DT, Cunningham B, Wilkins EG (2002) The effectiveness of surgical and nonsurgical interventions in relieving the symptoms of macromastia. Plast Reconstr Surg 109:1556–1566CrossRefPubMed Collins ED, Kerrigan CL, Kim M, Lowery JC, Striplin DT, Cunningham B, Wilkins EG (2002) The effectiveness of surgical and nonsurgical interventions in relieving the symptoms of macromastia. Plast Reconstr Surg 109:1556–1566CrossRefPubMed
35.
go back to reference Kerrigan CL, Collins ED, Striplin D, Kim HM, Wilkins E, Cunningham B, Lowery J (2001) The health burden of breast hypertrophy. Plast Reconstr Surg 108:1591–1599CrossRefPubMed Kerrigan CL, Collins ED, Striplin D, Kim HM, Wilkins E, Cunningham B, Lowery J (2001) The health burden of breast hypertrophy. Plast Reconstr Surg 108:1591–1599CrossRefPubMed
36.
go back to reference Shakespeare V, Cole RP (1997) Measuring patient-based outcomes in a plastic surgery service: breast reduction surgical patients. Br J Plast Surg 50:242–248CrossRefPubMed Shakespeare V, Cole RP (1997) Measuring patient-based outcomes in a plastic surgery service: breast reduction surgical patients. Br J Plast Surg 50:242–248CrossRefPubMed
37.
go back to reference Goin MK, Goin JM, Gianini MH (1977) The psychic consequences of a reduction mammaplasty. Plast Reconstr Surg 59:530–534CrossRefPubMed Goin MK, Goin JM, Gianini MH (1977) The psychic consequences of a reduction mammaplasty. Plast Reconstr Surg 59:530–534CrossRefPubMed
38.
go back to reference Ribeiro SFM, Ferreira MC, Junior PT, Jacquemin A (1995) Avaliação psicológica pré-operatoria de pacientes submetidas a ritidoplastia. Rev Hosp Clin Fac Med Sao Paulo 50:17–21PubMed Ribeiro SFM, Ferreira MC, Junior PT, Jacquemin A (1995) Avaliação psicológica pré-operatoria de pacientes submetidas a ritidoplastia. Rev Hosp Clin Fac Med Sao Paulo 50:17–21PubMed
Metadata
Title
Improvement in Quality of Life and Self-Esteem After Breast Reduction Surgery
Authors
Arnaldo A. Mello
Neide A. M. Domingos
M. Cristina Miyazaki
Publication date
01-02-2010
Publisher
Springer-Verlag
Published in
Aesthetic Plastic Surgery / Issue 1/2010
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-009-9409-x

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