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Quality of Life and Alleviation of Symptoms After Breast Reduction for Macromastia in Obese Patients: Is Surgery Worth It?

Abstract：

BACKGROUND:Breast hypertrophy can cause a variety of symptoms and affect lifestyle and quality of life. Breast reduction, being the most effective treatment, is sometimes difficult to establish as standard treatment in obese patients (difficulties to differentiate symptoms from macromastia or from obesity, higher rate of complications). AIM:To evaluate the effect of reduction mammaplasty (quality of life and symptoms) in obese patients comparing with non-obese. METHODS:This is a prospective study of patients undergoing reduction mammaplasty. Patients were allocated in non-obese (BMI < 29) and obese (BMI > 30). Demographic data, comorbidities, specific symptoms questionnaire, data from the surgical procedure, Spanish version of the Health-Related Quality of Life (SF-36) questionnaire, complications and sequels were recorded and collected before the operation and at 1 month and 1 year after. Chi-square, Fisher's exact t test, McNemar, Mann-Whitney U and Kruskal-Wallis tests were used for statistical analysis. RESULTS:One hundred twenty-one consecutive patients were operated on; 54 (44.6 %) obese and 67 (55.4 %) non-obese. The average age of patients was 40.7 (18-78), average volume of resected tissue was 1.784 g (401-5.790), and average hospital stay was 2.94 days (1-11). There were no differences between obese and normal BMI patients with regard to length of hospital stay, complications, sequels, or reoperations. Symptoms improved in both groups. Physical and mental components of the SF-36 improved at 1 year in both groups (p < 0.001). The mental health component improved at 1 month (p < 0.001) in both groups. CONCLUSIONS:Obese patients should be considered for reduction mammaplasty surgery in the same way as women of normal weight. LEVEL OF EVIDENCE III:This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. 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.

journal_name

Aesthetic Plast Surg

journal_title

Aesthetic plastic surgery

authors

Güemes A,Pérez E,Sousa R,Gil I,Valcarreres MP,Carrera P,Gracia MD,Artigas L,Gascon A

doi

10.1007/s00266-015-0601-x

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

62-70

issue

eissn

0364-216X

issn

1432-5241

pii

10.1007/s00266-015-0601-x

journal_volume

pub_type

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Quality of Life and Alleviation of Symptoms After Breast Reduction for Macromastia in Obese Patients: Is Surgery Worth It?