Comparison between different methods of breast implant volume choice and degree of postoperative satisfaction.

ANA CLAUDIA WECK ROXO,FERNANDO SERRA-GUIMARÃES,FABIO XERFAN NAHAS,RAFAEL DAIBERT DE SOUZA MOTTA

doi:10.1590/0100-6991e-20181345

ANA CLAUDIA WECK ROXO, FERNANDO SERRA-GUIMARÃES

Open Access

https://doi.org/10.1590/0100-6991e-20181345

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Abstract

to assess the degree of patient satisfaction after undergoing breast augmentation and compare three different, easy, inexpensive and universal methods of preoperative choice of breast implant volume. a prospective study was carried out at University Hospital Pedro Ernesto of State University of Rio de Janeiro, in 94 women from Rio de Janeiro, aged 18 to 49 years, submitted to breast augmentation mammaplasty with breast implant due to hypomastia. All implants were textured, with a round base and high projection and were introduced into the retroglandular space through an inframammary access. The patients were divided into three groups: Control, Silicone and MamaSize®, with 44, 25 and 25 patients, respectively. Satisfaction questionnaires were applied in the pre and postoperative periods by the same evaluator, through the visual analogue scale, in which '0' meant very unsatisfied and '100' very satisfied for the four variables: shape, size, symmetry and consistency. The degree of satisfaction with the surgical scar was also assessed in the postoperative period. when the preoperative and postoperative satisfaction levels were compared, there was a difference in all variables for the three groups, with statistical significance. However, when the postoperative data were compared with each other, there was no significant difference. The degree of satisfaction with the surgical scar was high. the augmentation mammaplasty with breast implant had a high index of satisfaction among patients. However, there was no difference in the degree of satisfaction in the postoperative period between the three methodologies of breast volume measurement.

Highlights

Augmentation mammaplasty is currently the most often performed cosmetic surgery worldwide[1]
There are many articles in the literature on the subject, most of them are retrospective or multicenter studies that do not focus on the choice of breast volume
Brazil was the second in the world in esthetic plastic surgery in 2016, there have been few studies that evaluated this cultural issue in the country[1]

Summary

Introduction

Augmentation mammaplasty is currently the most often performed cosmetic surgery worldwide[1]. In Brazil, it is the second most often performed esthetic plastic surgery, corresponding to 13.64% of procedures[1]. There are many articles in the literature on the subject, most of them are retrospective or multicenter studies that do not focus on the choice of breast volume. When they describe the choice of implant, they do so through a single methodology, without any prospective comparisons between the other existing methods[2,3,4,5,6,7]. Brazil was the second in the world in esthetic plastic surgery in 2016, there have been few studies that evaluated this cultural issue in the country[1]

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