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Patient-Reported Outcomes after Subpectoral Breast Augmentation with Microtextured or Macrotextured Implants Using
Alice Teixeira Leite1, Miguel Sabino-Neto2, Vanessa Contato Lopes Resende3
1Graduate Program in Translational Surgery, Federal University of São Paulo (UNIFESP), São Paulo, Brazil.
Archives of Plastic Surgery
|July 14, 2022
Summary
Breast augmentation using either microtextured or macrotextured implants significantly improved patient satisfaction and psychosocial well-being. However, physical well-being temporarily decreased post-surgery in both groups.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Patient-Reported Outcomes
Background:
- Breast augmentation is a prevalent cosmetic procedure globally.
- Assessing patient satisfaction and quality of life is crucial for surgical outcomes.
Purpose of the Study:
- To compare patient satisfaction and quality of life after subpectoral breast augmentation using microtextured versus macrotextured implants.
- To evaluate the impact of implant texture on patient-reported outcomes.
Main Methods:
- Prospective study of 40 women with hypomastia undergoing subpectoral breast augmentation.
- Random allocation to receive either microtextured or macrotextured implants.
- Assessment using the BREAST-Q augmentation module at baseline, 2, and 4 months post-surgery.
Main Results:
- Both implant groups showed significant improvements in breast satisfaction, psychosocial, and sexual well-being.
- Physical well-being scores significantly decreased at 2 and 4 weeks post-surgery in both groups.
- Improvements were associated with large effect sizes, indicating clinical significance.
Conclusions:
- Subpectoral breast augmentation with both microtextured and macrotextured implants enhances patient satisfaction and quality of life.
- The choice of implant texture did not negatively impact overall satisfaction or well-being outcomes.

