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A Cross-Sectional Assessment of Preoperative Knowledge, Psychological Impact, and Surgical Needs in Chinese Women
1Department of Comprehensive Breast Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Objective:
This study aims to evaluate the preoperative awareness of Chinese women with macromastia regarding their breast condition, explore the impact of macromastia on their physical and psychological health, and understand their needs and expectations for breast reduction surgery.
Methods:
A cross-sectional survey was conducted using questionnaires to collect data from female patients scheduled for breast reduction surgery. The questionnaire included both closed- and open-ended questions, covering patients' awareness of breast health, the impact of macromastia, and surgical expectations. All research procedures were approved by the ethics committee.
Results:
A total of 112 questionnaires were distributed, and all were returned and included in the analysis. The results indicated that most patients had insufficient awareness of their breast condition, particularly regarding bra size and breast symmetry. Approximately half of the patients reported experiencing physical and psychological symptoms such as shoulder and back pain, anxiety, and depression. Most patients expected surgery to improve breast appearance, alleviate ptosis and related symptoms, and preferred smaller cup sizes (e.g., B cup). Patients exhibited a high tolerance for postoperative scars and complications but maintained high expectations for surgical outcomes.
Conclusion:
This study demonstrates that macromastia significantly impacts the physical and psychological health of female patients, and insufficient preoperative awareness may affect treatment decisions. Breast reduction surgery not only helps alleviate physical symptoms but also effectively reduces psychological distress. The structured preoperative perception assessment can be used as a practical tool for preoperative education and provide personalized treatment plans for patients with macromastia to optimize surgical outcomes and patient satisfaction.
Level Of Evidence Iv:
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 Table of Contents or online Instructions to Authors www.springer.com/00266 .
