Abstract

Background: Mammoplasty is the most common surgery used for breast augmentation (aesthetic plastic) and breast reconstruction (disease-related plastic) in women who have been diagnosed with and surgically treated for regional breast cancer with modified radical mastectomy. This study aims to examine the long-term effects of mammoplasty on the psychological well-being of women.Methods: Participants were 44 women aged 30–50 years (mean = 40.4 ± 5.9). They were divided into two groups based on the purpose of the breast surgery they underwent [augmentation surgery (AS) vs. reconstruction surgery (RS)] and the time that had elapsed since their surgery (≤3 vs. >3 years).Results: Our findings suggest that women who underwent AS reported a decline in their psychological well-being over time. The women who had undergone AS ≤3 and >3 years did not show any differences in emotional functioning, with the exception of the BREAST-Q scores on the satisfaction with breasts subscale. We examined the impact of mammoplasty on the satisfaction levels and well-being of women who had undergone RS (after MRM). They were less satisfied with their breasts than those who belonged to the AS group, confirming our hypothesis. However, this was true only among those who had undergone surgery ≤3 years earlier.Conclusions: In conclusion, our findings underscore the need to provide psychological support to those who have undergone breast AS and RS. Additionally, this study implies the need for personalized psychological interventions to improve the emotional adaptation process and enhance women's mental well-being.

Highlights

  • Mammoplasty is the most common surgery for breast augmentation, with about 280,692 healthy women having undergone aesthetic plastic surgery procedures in 2019 alone [1]

  • A total of 44 patients participated in this study

  • Majority of them were employed (n = 30, 68.18%), and half of them worked as clerks (n = 15, 34.09%)

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Summary

Introduction

Mammoplasty is the most common surgery for breast augmentation, with about 280,692 healthy women having undergone aesthetic plastic surgery procedures in 2019 alone [1]. Nava et al [3] proposed that the measures adopted in augmentation surgery (AS) should be chosen based on an evaluation of the post-operative complications, reintervention rates, the reasons for reoperation, and patientreported outcomes. They emphasized the need for a national register and mandatory reporting policies to identify and promote decisional pathways that yield better patient outcomes, in order to harmonize, implement, and maximize patient experience and usage of medical resources. This study aims to examine the long-term effects of mammoplasty on the psychological well-being of women

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