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Corrective Breast Surgery in Adolescents and Young Adults: A Retrospective Patient-Reported Outcome Study Using the
Riham Kheir1,2, Ehud Fliss1,2, Dana Adelson1,2
1Department of Plastic and Reconstructive Surgery, Tel Aviv Sourasky Medical Center, 6 Weizman Street, 64239, Tel-Aviv, Israel.
Aesthetic Plastic Surgery
|June 2, 2026
Summary
Adolescent breast corrective surgery significantly improves quality of life (QOL) and satisfaction. Procedures like reduction mammoplasty, asymmetry correction, and gynecomastia repair lead to better psychosocial and sexual well-being.
Area of Science:
- Plastic Surgery
- Adolescent Medicine
- Quality of Life Research
Background:
- Breast corrective surgery is increasingly common in adolescents.
- Assessing the impact on quality of life (QOL) and patient satisfaction is crucial for risk-benefit analysis.
Purpose of the Study:
- To evaluate patient satisfaction and the effect of breast corrective surgery on QOL in adolescents and young adults.
- Utilized the validated BREAST-Q questionnaire for comprehensive assessment.
Main Methods:
- Retrospective study of patients aged 21 and under undergoing breast corrective surgery (2013-2021).
- Pre- and postoperative BREAST-Q questionnaires were administered to assess QOL and satisfaction.
- Compared outcomes across different procedures: macromastia, asymmetry, and gynecomastia.
Main Results:
- Fifty-two patients included: 46.2% asymmetry correction, 34.6% reduction mammoplasty, 19.2% gynecomastia repair.
- All patient groups reported significant improvements in psychosocial well-being, sexual well-being, and breast satisfaction post-surgery.
- Physical well-being improved in reduction mammoplasty and gynecomastia repair groups; asymmetry correction without implants showed better physical outcomes than with implants.
Conclusions:
- Breast corrective surgery in adolescents and young adults yields high satisfaction.
- Procedures including reduction mammoplasty, asymmetry correction, and gynecomastia repair are associated with improved QOL.
- BREAST-Q validated the positive impact of these surgeries on patient outcomes.