Analysis of Adolescent Patient Satisfaction and Well-Being following Reduction Mammaplasty using The BREAST-Q Survey

2021 ◽  
Author(s):  
Matthew J. Davis ◽  
Michelle G. Roy ◽  
Laura A. Monson
Keyword(s):  
Patient Satisfaction ◽  
Reduction Mammaplasty ◽  
Well Being ◽  
Adolescent Patient

Reduction Mammoplasty

2019 ◽  
pp. 649-664
Author(s):  
M. Mark Mofid ◽  
Gehaan D’Souza ◽  
Benjamin E. Cohen ◽  
Michael E. Ciaravino
Keyword(s):  
Patient Satisfaction ◽  
Breast Reduction ◽  
Reduction Mammaplasty ◽  
Well Being ◽  
The United States ◽  
Reduction Mammoplasty ◽  
Strongly Correlated ◽  
Breast Reduction Surgery ◽  
Developmental Factors ◽  
Wise Pattern

Breast reduction is one of the more common plastic surgery operations performed in the United States. There were 1,00,000 operations performed in 2015. The etiology of breast hypertrophy is unclear and likely involves some combination of hormonal, genetic, and developmental factors. Patients with mammary hypertrophy complain of intertriginous infections, back and shoulder pain, shoulder notching, physical inactivity, dissatisfaction with breast appearance, poor sexual well-being, and poor psychological well-being. The goals of breast reduction surgery are to reduce overall breast volume, maintain nipple-areola viability, and achieve a shape that is aesthetically pleasing. Breast reduction improves patient satisfaction with breast appearance as well as physical and psychosocial well-being. Overall patient satisfaction is most strongly correlated with happiness with the appearance of the breasts. A number of techniques have been developed that effectively meet these goals. Three techniques are described in this chapter: inferior pedicle Wise pattern reduction mammaplasty, vertical pattern breast reduction, and partial breast amputation with free nipple-areola grafting.

Identification of the Optimal Recipient Layer for Transplanted Fat: A Prospective Study on Breast Lipoaugmentation

2018 ◽  
Vol 39 (10) ◽  
pp. 1071-1081 ◽  
Author(s):  
Xiaoshuang Guo ◽  
Dali Mu ◽  
Wenshan Xing ◽  
Yaping Qu ◽  
Jie Luan
Keyword(s):  
Patient Satisfaction ◽  
Prospective Study ◽  
Retention Rate ◽  
Well Being ◽  
Retention Rates ◽  
Prospective Clinical Study ◽  
Pectoralis Muscle ◽  
Recipient Site ◽  
Minimal Invasiveness ◽  
Volume Retention

Abstract Background Fat grafting has become a popular procedure in aesthetic and reconstructive surgeries due to its safety, minimal invasiveness, and favorable visual outcomes, although the volume retention rate is unpredictable. Objectives A prospective clinical study on lipoaugmentation of the breast was conducted to compare fat retention rates in the pectoralis muscle and the periglandular area. Methods This prospective study included 20 breasts from 11 patients who underwent primary lipoaugmentation. Volume retention rate and percentage augmentation among different recipient layers, as well as complications and patient satisfaction, were evaluated. Magnetic resonance imaging was performed preoperatively and at 1 day and 3 months postoperatively. Complications were recorded, and patient satisfaction was appraised through the use of the Breast-Q questionnaire. Results Breasts were injected with 207 ± 29 mL of fat, achieving overall volume retention rates of 56.63% ± 16.40%. The overall augmentation was 21.53% ± 10.27%. Volume retention rate was significantly higher (59.00% ± 13.84%) in the periglandular area than in the pectoralis muscle (47.21% ± 22.41%) (P = 0.04). Augmentation was significantly higher (32.13% ± 12.96%) in the periglandular area than in the pectoralis muscle (4.95% ± 4.23%) (P = 0.00). Pain and numbness were the only reported complications. The Breast-Q score increased significantly for the measures “satisfaction with breasts,” “psychosocial well-being,” and “sexual well-being.” Conclusions Fat transfer is a safe and acceptable method for aesthetic and reconstructive breast surgery. The periglandular area was a better recipient site than muscle for transferred fat. Level of Evidence: 4

scholarly journals Combined Orthodontic And Surgical Correction Of An Adolescent Patient With Thin Palatal Cortex And Vertical Maxillary Excess

2013 ◽  
Vol 10 (3) ◽  
pp. 88-92
Author(s):  
Manjunath Hedge ◽  
C Hedge ◽  
U Parajuli ◽  
P Kamath
Keyword(s):  
Medical Journal ◽  
Male Patient ◽  
Orthognathic Surgery ◽  
Well Being ◽  
Adolescent Patient ◽  
Combined Approach ◽  
Skeletal Class ◽  
Orthodontic Therapy ◽  
Pre Treatment ◽  
Gummy Smile

This paper describes the treatment of a male patient aged 14 years who presented with a skeletal class I, vertical maxillary excess, marked increase in overjet, thin palatal cortex and a gummy smile. Considering the severity of his malocclusion and its impact severity on his psychosocial well being, he was managed with a combined approach of Fixed Orthodontic therapy and Orthognathic surgery, even though his growth was not complete. Records of Pre treatment, Post treatment and three years in retention were analyzed and the functional and esthetic results were found to be fairly stable. Kathmandu University Medical Journal | VOL.10 | NO. 3 | ISSUE 39 | JUL- SEP 2012 | Page 88-92 DOI: http://dx.doi.org/10.3126/kumj.v10i3.8029

scholarly journals A Pilot Study Evaluation of Three-Dimensional Imaging in Cosmetic Breast Augmentation: Results of a Single Surgeon 3.5 Year Retrospective Study Using the BREAST-Q Questionnaire

2021 ◽  
Author(s):  
Lauren E Hutchinson ◽  
Andrea D Castaldo ◽  
Cedar H Malone ◽  
Nicole Z Sommer ◽  
Ashley N Amalfi
Keyword(s):  
Patient Satisfaction ◽  
Breast Augmentation ◽  
3D Imaging ◽  
Breast Implant ◽  
Three Dimensional ◽  
Well Being ◽  
Three Dimensional Imaging ◽  
Size Selection ◽  
Implant Size ◽  
Implant Selection

Abstract Background Traditional methods of breast implant size selection provide limited ability to demonstrate postoperative outcomes. Three-dimensional imaging provides an opportunity for improved patient evaluation, surgical planning, and evaluation of postoperative breast appearance. Objectives We hypothesized that preoperative 3D imaging for patients undergoing breast augmentation would improve patient satisfaction and understanding of expected surgical outcomes. Methods A retrospective review of patients undergoing breast augmentation by a single surgeon over a 3.5-year period was performed. Patients presenting after the VECTRA was purchased had preoperative 3D imaging, while patients presenting before this did not. Eligible patients received a BREAST-Q questionnaire designed for postoperative evaluation of breast augmentation. They also received a second survey that evaluated expected versus actual breast outcomes. Results 120 surveys were mailed and 61 patients (50.8%) returned the survey. The 3D imaged group had improved BREAST-Q scores regarding satisfaction with outcome, surgeon, and physical well-being compared to the group that did not. The imaged group also had higher size, shape, and overall breast correlation scores, confidence in implant size selection scores, and communication with surgeon scores. The differences between the two groups were not statistically significant. Conclusions Three-dimensional imaging is a valuable tool in breast surgery. Although our study showed improvement in patient satisfaction and predicted outcome scores in the 3D imaged group, our results were not statistically significant. With the majority of patients reporting they would choose 3D imaging, it appears to instill confidence in patients regarding both surgeon and implant selection.

scholarly journals Long-Term Patient Satisfaction and Quality of Life After Breast-Conserving Therapy: A Prospective Study Using the BREAST-Q

2021 ◽  
Author(s):  
Ilona Stolpner ◽  
Jörg Heil ◽  
Fabian Riedel ◽  
Markus Wallwiener ◽  
Benedikt Schäfgen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Patient Satisfaction ◽  
Repeated Measures ◽  
Aesthetic Surgery ◽  
Well Being ◽  
Breast Conserving Therapy ◽  
Patient Reported

Abstract Background Poor patient-reported satisfaction after breast-conserving therapy (BCT) has been associated with impaired health-related quality of life (HRQOL) and subsequent depression in retrospective analysis. This prospective cohort study aimed to assess the HRQOL of patients who have undergone BCT using the BREAST-Q, and to identify clinical risk factors for lower patient satisfaction. Methods Patients with primary breast cancer undergoing BCT were asked to complete the BREAST-Q preoperatively (T1) for baseline evaluation, then 3 to 4 weeks postoperatively (T2), and finally 1 year after surgery (T3). Clinicopathologic data were extracted from the patients’ charts. Repeated measures analysis of variance (ANOVA) was used to determine significant differences in mean satisfaction and well-being levels among the test intervals. Multiple linear regression was used to evaluate risk factors for lower satisfaction. Results The study enrolled 250 patients. The lowest baseline BREAST-Q score was reported for “satisfaction with breast” (mean, 61 ± 19), but this increased postoperatively (mean, 66 ± 18) and was maintained at the 1 year follow-up evaluation (mean, 67 ± 21). “Physical well-being” decreased from T1 (mean, 82 ± 17) to T2 (mean, 28 ± 13) and did not recover much by T3 (mean, 33 ± 13), being the lowest BREAST-Q score postoperatively and in the 1-year follow-up evaluation. In multiple regression, baseline psychosocial well-being, body mass index (BMI), and type of incision were risk factors for lower “satisfaction with breasts.” Conclusion Both the aesthetic/surgery-related and psychological aspects are equally important with regard to “satisfaction with breasts” after BCT. The data could serve as the benchmark for future studies.

Assessing the Influence of Failed Implant Reconstruction on Patient Satisfaction and Decision Regret after Salvage Free-Flap Breast Reconstruction

2021 ◽  
Author(s):  
Ronnie L. Shammas ◽  
Amanda R. Sergesketter ◽  
Mahsa Taskindoust ◽  
Sonali Biswas ◽  
Scott T. Hollenbeck ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Breast Reconstruction ◽  
Free Flap ◽  
Well Being ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Decision Regret ◽  
History Of ◽  
Implant Reconstruction

Abstract Background Free-flap breast reconstruction after failed implant reconstruction is associated with improved patient outcomes. How the level of satisfaction achieved compares between patients with and without previously failed implant reconstruction remains unknown. The aim of this study was to assess the influence of prior failed implant-based reconstruction on long-term patient-reported outcomes after free-flap breast reconstruction. Methods All patients undergoing free-flap breast reconstruction between 2015 and 2019 were identified. Patient satisfaction using the BREAST-Q and decisional regret using the Decision Regret Scale were compared between patients with and without a history of implant breast reconstruction. Results Overall, 207 patients were contacted and 131 completed the BREAST-Q and Decision Regret Scale. A total of 23 patients had a history of failed implant-based reconstruction requiring free-flap-flap salvage, most commonly due to infection (39.1%), chronic pain (34.8%), capsular contracture (26%), and implant malposition (26.1%). Following definitive free-flap reconstruction, patients with prior failed implant reconstruction had significantly lower BREAST-Q scores for satisfaction with breast (61.2 ± 16.7 vs. 70.4 ± 18.7; p = 0.04) and sexual well-being (38.5 ± 18.2 vs. 52.8 ± 24.7; p = 0.01) and reported higher decision regret (19.1 ± 18.6 vs. 9.6 ± 15.6, respectively). There were no significant differences for psychosocial well-being (p = 0.67), physical well-being (chest; p = 0.27), and physical well-being (abdomen; p = 0.91). Conclusion A history of failed implant-based reconstruction is associated with reduced satisfaction and increased decision regret with the final reconstructive outcome. This data underscores the importance of appropriate patient selection at the initial consultation, and informed preoperative counseling regarding long-term outcomes in patients presenting for free-flap reconstruction after a failed implant-based reconstruction.

Telehealth Treatment of Patients With Borderline Personality Disorder in a Partial Hospital Setting During the COVID-19 Pandemic: Comparative Safety, Patient Satisfaction, and Effectiveness of In-Person Treatment

2021 ◽  
pp. 1-19
Author(s):  
Mark Zimmerman ◽  
Madeline Ward ◽  
Catherine D'Avanzato ◽  
Julianne Wilner Tirpak
Keyword(s):  
Patient Satisfaction ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Treatment ◽  
Well Being ◽  
Borderline Personality ◽  
Hospital Treatment ◽  
Level Of Care ◽  
Hospital Level ◽  
Partial Hospital

There are no studies of the safety and effectiveness of telehealth psychiatric treatment of partial hospital level of care, in general, and for borderline personality disorder (BPD) in particular. In the present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project, the authors compared the effectiveness of their partial hospital treatment program in treating patients with BPD. For both the in-person and telehealth partial hospital level of care, patients with BPD were highly satisfied with treatment and reported a significant reduction in symptoms from admission to discharge. Both groups reported a significant improvement in functioning, coping ability, positive mental health, and general well-being. A large effect size of treatment was found in both treatment groups. No patients attempted suicide. Telehealth partial hospital treatment was as effective as in-person treatment in terms of patient satisfaction, symptom reduction, and improved functioning and well-being for patients with BPD.

When to Perform Reduction Mammaplasty in the Adolescent Patient

2019 ◽  
Vol 229 (4) ◽  
pp. e8
Author(s):  
Laura C. Nuzzi ◽  
Tannishtha Pramanick ◽  
Joseph M. Firriolo ◽  
Catherine T. McNamara ◽  
Brian I. Labow
Keyword(s):  
Reduction Mammaplasty ◽  
Adolescent Patient

Reductio Ad Absurdum: Examining the Validity of the 500-gram Rule in Reduction Mammaplasty

2020 ◽  
Author(s):  
Minji Kim ◽  
Mahmood J Al Bayati ◽  
Prakash J Mathew ◽  
Seth R Thaller
Keyword(s):  
Patient Satisfaction ◽  
Reduction Mammaplasty ◽  
Symptomatic Relief ◽  
Reduction Mammoplasty ◽  
Insurance Companies ◽  
Cochrane Central Register ◽  
Common Procedure ◽  
Form And Function ◽  
Hard Evidence ◽  
And Function

Abstract Background Reduction mammoplasty is a common procedure associated with a very high patient satisfaction rate. It has been shown to alleviate symptoms related to macromastia, such as back, neck, and shoulder pain, poor posture, bra strap grooving, paresthesia, and rashes. Despite the manifold benefits of reduction mammaplasty, some insurance companies require minimum resection weights of at least 500-grams per breast in order to distinguish between a reconstructive and aesthetic procedure. Objective The aim of this study is to assess the origins of the 500-gram rule used in reduction mammaplasty. Methods A comprehensive literature search of the MEDLINE, PubMed, Google Scholar, EMBASE, and Cochrane Central Register of Controlled Trials was conducted for studies published through July 2020 with multiple search terms related to resection weight criteria for breast reduction. Data on criteria, outcomes, and patient satisfaction were collected. Results A total of 14 articles were selected from the 27 articles that were identified. 500-gram rule appears to be arbitrary. It appears that it is not based on any available hard evidence. However, numerous studies show that patients who have less than 500-grams of tissue removed from each breast still experience significant symptomatic relief from reduction mammaplasty with a marked improvement in quality of life. Conclusion The 500-gram rule should be re-evaluated as criterion for pre-authorization reduction mammaplasty for insurance companies. It may influence surgeons to choose between form and function. Many additional patients might then benefit from this procedure with significant benefits.

Primary Care Physicians' Discussion of Emotional Distress and Patient Satisfaction

2007 ◽  
Vol 37 (3) ◽  
pp. 331-345 ◽  
Author(s):  
Revital Gross ◽  
Shuli Brammli-Greenberg ◽  
Hava Tabenkin ◽  
Jochanan Benbassat
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Emotional Distress ◽  
Family Physician ◽  
Low Income ◽  
Well Being ◽  
Satisfaction With Care ◽  
The Past ◽  
The Family ◽  
Patient Satisfaction With Care

Objectives: To assess: a) the prevalence and determinants of self-reported emotional distress in the Israeli population; b) the rate of self-reported discussion of emotional distress with family physicians; and c) the association between such discussions and patient satisfaction with care. Method: Design: Retrospective, cross-sectional survey that was conducted through structured telephone interviews in Hebrew, Arabic, and Russian. This study was part of a larger study assessing patients' perceptions of the quality of health services. Participants: A representative sample of 1,849 Israeli citizens aged 22 to 93 (response rate: 84%). Independent variables: Gender, age, ethnicity (spoken language), education, income, self-reported chronic disease, self-reported episode(s) of emotional distress during the last year, and having discussed emotional distress with the family physician. Outcome measure: satisfaction with care. Results: 28.4% reported emotional distress and 12.5% reported discussion of emotional distress with a primary care physician in the past year. Logistic regression identified female gender, Arab ethnicity, low income, and chronic illness as independent correlates of emotional distress. These as well as Russian speakers and having experienced emotional distress during the past year were identified as independent correlates of discussion of emotional distress with the family physician. Patients who reported discussion of emotional distress with their family physician were significantly more satisfied with care. Conclusions: Encouraging physicians to detect and discuss emotional distress with their patients may increase patient satisfaction with care, and possibly also improve patients' well-being and reduce health care costs.

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