Does Time Affect Patient Satisfaction and Health-related Quality of Life After Reduction Mammoplasty?

Wess A. Cohen, MD; Peter Homel, PhD; Nima P. Patel, MD


ePlasty. 2016;16 

In This Article


After approval by the institutional review board at Maimonides Medical Center in Brooklyn, NY, all patients seen by a single surgeon (N.P.P.) between June 2012 and January 2014 were asked to prospectively complete the BREAST-Q reduction/mammoplasty questionnaire preoperatively and again at each postoperative follow-up visit.

The BREAST-Q is a validated breast surgery–specific PRO instrument.[10] Raw scores were converted to a 0 to 100 scale by the Q-score program. Larger numbers equate to a stronger agreement with the question posed and translate to increased satisfaction or HR-QOL. The BREAST-Q consists of 4 scales, which may be completed both before and after breast surgery: Satisfaction with Breasts; Psychosocial Well-being; Sexual Well-being; and Physical Well-being. In addition, there are 5 scales, which can be administered only after surgery: Satisfaction With Outcome; Nipples; Information; Plastic Surgeon; Medical Team; and Office Staff.

Statistical Analysis

Data were described in terms of the mean for normally distributed variables and as frequency (percent) for categorical variables. Mixed-model linear regression was used to compare BREAST-Q scores preoperatively, immediate postsurgery (≤3 months after surgery), and extended postsurgery (>3 months after surgery). It allows for inclusion of all respondents regardless of missing data based on the assumption of data missing at random. A mean contrast test made specific comparison between preoperative and immediate postsurgery and immediate postsurgery versus extended postsurgery. A value of P < .05 was considered significant.