Patient-Surgeon Satisfaction Discrepancy following Breast Reduction Surgery: A 10-year Analysis of Aesthetic Outcomes and Quality of Life
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Summary
This summary is machine-generated.Breast reduction surgery enhances quality of life and aesthetic outcomes. Patients report higher satisfaction than surgeons, underscoring the importance of patient-reported outcomes in evaluating breast reduction results.
Area Of Science
- Plastic Surgery
- Oncoplastic Surgery
- Patient-Reported Outcomes
Background
- Breast reduction surgery improves quality of life for patients with macromastia or post-oncological treatment.
- Comparative analysis of surgical techniques and patient satisfaction is limited.
- Patient-reported outcome measures (PROMs) are crucial for assessing satisfaction and outcomes.
Purpose Of The Study
- To compare different breast reduction surgical techniques.
- To integrate patient and plastic surgeon perspectives on outcomes.
- To investigate discrepancies between patient self-assessments and professional evaluations.
Main Methods
- A 10-year retrospective single-center cohort study.
- Utilized pre- and postoperative BREAST-Q questionnaires and aesthetic self-assessments.
- Analyzed outcomes and complication rates using photographic documentation.
Main Results
- 170 patients included; 92 with photographic documentation; median follow-up 4.9 years.
- BREAST-Q scores significantly improved across all techniques, comparable in oncoplastic and nononcoplastic patients.
- Patients reported higher aesthetic satisfaction than surgeons; BMI identified as a complication risk factor.
Conclusions
- Breast reduction surgery improves aesthetics and quality of life, irrespective of technique or oncoplastic methods.
- A significant discrepancy exists between patient and surgeon satisfaction.
- A patient-centered approach using PROMs is essential for evaluating postoperative results.

