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Long-Term Satisfaction in Young Reduction Mammaplasty Patients: a 30 Year Follow-Up Using the Breast-Q
Kate J. Buretta, MD, Anna R. Carlson, MD, Ronnie L. Shammas, BS, Hui-Jie Lee, PhD, Gregory S. Georgiade, MD.
Duke University Medical Center, Durham, NC, USA.

PURPOSE: Reduction mammaplasty is the most effective means of improving symptomatic macromastia. Although studies have shown lasting improvement in middle-aged patients, there is a paucity of data regarding young patients. With the growing obesity epidemic, more young patients are requesting reduction mammaplasty, signifying a need for long-term outcomes data. We hypothesize that young reduction mammaplasty patients experience excellent long-term quality of life and overall satisfaction.
METHODS: Female patients less than 25 years of age who underwent reduction mammaplasty by a single surgeon from 1980-2004 were identified (n = 134). Contact information was obtained for 52 patients, for which 47 consented to participate. These patients were then mailed BREAST-Q Post-Operative Reduction Module surveys. Completed surveys were scored on a scale of 0-100 using the Qscore software. Demographic characteristics, comorbidities, surgical details, and length of follow-up were also reviewed.
RESULTS: Thirty-six surveys were returned (response rate: 76.6%). The average age at surgery was 20.2 years (range: 12.4-24.6 years), with a mean follow-up of 21.2 years (range: 11.4-32.4 years). The mean BMI at surgery was 29.2. The inferior pedicle reduction technique was used in all cases. For satisfaction domains, mean scores were as follows: breasts, 66.9; outcome, 78.1. Regarding quality of life domains, mean scores were as follows: psychosocial, 76.1; sexual, 72.8; physical, 81.0 (Table 1). BMI <25 at the time of surgery was not a statistically significant predictor of long-term satisfaction or well-being.
CONCLUSION: This study provides the longest follow-up of young reduction mammaplasty patients, and it is the only study to use the validated BREAST-Q in this population. Compared to normative values, young reduction mammaplasty patients more than ten years out from the procedure demonstrated higher scores across all domains (Table 2). Surgeons should be aware of these data and advocate for their young patients to gain access to care.
Summary Statistics of BREAST-Q Survey Results from Young Reduction Mammaplasty Patients
Mean (SD)
Satisfaction with breasts66.9 (16.6)
Satisfaction with outcome78.1 (21.5)
Psychosocial well-being76.1 (21.6)
Sexual well-being72.8 (17.9)
Physical well-being81 (13.8)

BREAST-Q Normative Values (Mundy et al, 2016)
NMean (SD)
Satisfaction with breasts120557 (16)
Psychosocial well-being120568 (19)
Sexual well-being102455 (19)
Physical well-being120576 (11)


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