TY - JOUR

T1 - Factors Influencing Patient Satisfaction with Breast Augmentation

T2 - A BREAST-Q Effect of Magnitude Analysis

AU - Jorgensen, Mads G.

AU - Hemmingsen, Mathilde N.

AU - Larsen, Andreas

AU - Weltz, Tim K.

AU - Stralman, Kristina B.

AU - Andersen, Peter S.

AU - Nezame Sarmady, Faranak

AU - Toyserkani, Navid M.

AU - Herly, Mikkel

AU - Elberg, Jens J.

N1 - Publisher Copyright: © 2023 The Author(s). Published by Oxford University Press on behalf of The Aesthetic Society. All rights reserved.

PY - 2023

Y1 - 2023

N2 - Background: Breast augmentation is one of the most performed cosmetic surgeries. Despite this, patient satisfaction following breast augmentation is poorly understood. Objectives: The aim of this study was to investigate what patient and surgical factors influence patient satisfaction following primary breast augmentation. Methods: The BREAST-Q Augmentation module was sent to all females undergoing primary breast augmentation at a single private clinic (Amalieklinikken, Copenhagen, Denmark) between 2012 and 2019. Patient and surgical characteristics at the time of surgery were obtained from the patients' medical records, and data on factors that occurred after the surgery (eg, breastfeeding) were obtained by patient contact. Multivariate linear regression modeled the impact of these factors on BREAST-Q outcomes. Results: A total of 554 females with a mean follow-up time of 5 years after primary breast augmentation were included in this study. Implant type and volume did not affect patient satisfaction. However, higher patient age was associated with significantly higher postoperative patient satisfaction, psychosocial well-being, and sexual well-being (P <. 05). Conversely, higher patient BMI, postoperative weight gain, and breastfeeding were associated with significantly lower satisfaction (P <. 05). Additionally, subglandular implant placement was associated with significantly lower satisfaction than submuscular implant placement (P <. 05). Conclusions: Implant type and volume did not affect patient satisfaction with breast augmentation. However, young age, higher BMI, subglandular implant placement, and postoperative weight gain were associated with lower patient satisfaction. These factors should be considered when aligning outcome expectations with breast augmentation. Level of Evidence: 4:

AB - Background: Breast augmentation is one of the most performed cosmetic surgeries. Despite this, patient satisfaction following breast augmentation is poorly understood. Objectives: The aim of this study was to investigate what patient and surgical factors influence patient satisfaction following primary breast augmentation. Methods: The BREAST-Q Augmentation module was sent to all females undergoing primary breast augmentation at a single private clinic (Amalieklinikken, Copenhagen, Denmark) between 2012 and 2019. Patient and surgical characteristics at the time of surgery were obtained from the patients' medical records, and data on factors that occurred after the surgery (eg, breastfeeding) were obtained by patient contact. Multivariate linear regression modeled the impact of these factors on BREAST-Q outcomes. Results: A total of 554 females with a mean follow-up time of 5 years after primary breast augmentation were included in this study. Implant type and volume did not affect patient satisfaction. However, higher patient age was associated with significantly higher postoperative patient satisfaction, psychosocial well-being, and sexual well-being (P <. 05). Conversely, higher patient BMI, postoperative weight gain, and breastfeeding were associated with significantly lower satisfaction (P <. 05). Additionally, subglandular implant placement was associated with significantly lower satisfaction than submuscular implant placement (P <. 05). Conclusions: Implant type and volume did not affect patient satisfaction with breast augmentation. However, young age, higher BMI, subglandular implant placement, and postoperative weight gain were associated with lower patient satisfaction. These factors should be considered when aligning outcome expectations with breast augmentation. Level of Evidence: 4:

U2 - 10.1093/asj/sjad204

DO - 10.1093/asj/sjad204

M3 - Journal article

C2 - 37378533

AN - SCOPUS:85174750788

VL - 43

SP - NP835-NP843

JO - Aesthetic Surgery Journal

JF - Aesthetic Surgery Journal

SN - 1090-820X

IS - 11

ER -