Skip Navigation LinksHome > December 2013 - Volume 132 - Issue 6 > Patient Satisfaction with Breasts and Psychosocial, Sexual,...
Plastic & Reconstructive Surgery:
doi: 10.1097/01.prs.0000434415.70711.49
Cosmetic: Outcomes Articles

Patient Satisfaction with Breasts and Psychosocial, Sexual, and Physical Well-Being after Breast Augmentation in Male-to-Female Transsexuals

Weigert, Romain M.D.; Frison, Eric M.D.; Sessiecq, Quentin M.D.; Al Mutairi, Khalid M.D.; Casoli, Vincent M.D., Ph.D.

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Abstract

Background: Satisfaction with breasts, sexual well-being, psychosocial well-being, and physical well-being are essential outcome factors following breast augmentation surgery in male-to-female transsexual patients. The aim of this study was to measure change in patient satisfaction with breasts and sexual, physical, and psychosocial well-being after breast augmentation in male-to-female transsexual patients.

Methods: All consecutive male-to-female transsexual patients who underwent breast augmentation between 2008 and 2012 were asked to complete the BREAST-Q Augmentation module questionnaire before surgery, at 4 months, and later after surgery. A prospective cohort study was designed and postoperative scores were compared with baseline scores. Satisfaction with breasts and sexual, physical, and psychosocial outcomes assessment was based on the BREAST-Q.

Results: Thirty-five male-to-female transsexual patients completed the questionnaires. BREAST-Q subscale median scores (satisfaction with breasts, +59 points; sexual well-being, +34 points; and psychosocial well-being, +48 points) improved significantly (p < 0.05) at 4 months postoperatively and later. No significant change was observed in physical well-being.

Conclusions: In this prospective, noncomparative, cohort study, the current results suggest that the gains in breast satisfaction, psychosocial well-being, and sexual well-being after male-to-female transsexual patients undergo breast augmentation are statistically significant and clinically meaningful to the patient at 4 months after surgery and in the long term.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

©2013American Society of Plastic Surgeons

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