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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.

Plastic and Reconstructive Surgery: December 2013 - Volume 132 - Issue 6 - p 1421–1429
doi: 10.1097/01.prs.0000434415.70711.49
Cosmetic: Outcomes Articles

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.


Bordeaux, France

From the Plastic Surgery and Burns Unit, Centre FX Michelet, Bordeaux University Hospital; and CHU de Bordeaux, Pôle de Santé Publique, Service d’Information Médicale.

Received for publication February 13, 2013; accepted May 2, 2013.

Presented at the French Society of Plastic, Reconstructive and Aesthetic Surgery Annual Meeting, in Paris, France, November 19 through 21, 2012.

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

Romain Weigert, M.D., Plastic Surgery and Burns Unit, University Hospital of Bordeaux, Centre FX Michelet, Place Amélie Raba Léon, 33076 Bordeaux, France,

©2013American Society of Plastic Surgeons