Breast reduction surgery of hypertrophic and sagging breasts in the material from the Plastic Surgery Clinic of the Postgraduate Education Centre in Warsaw
Journal Title: Postępy Nauk Medycznych - Year 2013, Vol 26, Issue 6
Abstract
Introduction. Significant breast hypertrophy and ptosis is a medical indication for surgical treatment. Patients seek help because of vertebral diseases, painful bra grooving and inframammary rashes.Aim. The aim of the study was to evaluate the indications for reduction mammaplasty, treatment results and assessment of macromastia-related quality-of-life.Material and methods. A total of 40 patients age 27-72 years were included in the study. A special questionnaire for the assessment of health related quality-of-life before and after surgical treatment of macromastia was developed and sent to the patients by post. Of the 40 patients 24 answered the survey.Results. The majority of patients had substantial health burdens, e.g. back pain, shoulder pain or headache. Reduction mammaplasty provided significant relief of back pain – 96% of patients declared complete elimination of symptom. Severe shoulder pain was significantly alleviated, but the decrease of moderate and mild shoulder pain was less visible. Furthermore the results revealed an increase in physical activity, self confidence and weight loss causing BMI decrease. The majority of patients (~90%) were satisfied with surgical results, although 37.5% of them expected a better aesthetic effect. All patients considered their agreement to undergo surgery a good decision.Conclusions. Individualized qualification for reduction mammaplasty provide an increase in patients’ physical and social activity, relief of macromastia-related symptoms and improvements in self confidence.Breast hypertrophy is a disease that influences the lives of women of various ages considered in the context of the physical and mental health burden. The observed decrease of BMI can suggest a potentially positive impact on reducing the risk of diseases of affluence morbidity.
Authors and Affiliations
Maciek Kulicki, Elżbieta Radzikowska, Zofia Bochen, Józef Jethon
Keywords
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