LAUSR

BACKGROUND Patient satisfaction are the primary goal in breast augmentation, but in a few cases patient and surgeon satisfaction are in disagreement. OBJECTIVES The authors try to explain the reasons associated with disparity between patient and surgeons' satisfaction. METHODS Seventy-one patients underwent primary breast augmentation with dual plane technique with inframammary or inferior hemi-periareolar incision were enrolled in this prospective study. Quality of Life using BREAST-Q pre- and post-operative was evaluated. A pre and post photographic analysis was performed by a heterogeneous group of experts whom completed the Validated Breast Aesthetic Scale. Satisfaction with breast score was compared with overall appearance of VBRAS; a difference in score ≥ 1 was considered as discordant judgement. Statistical analysis was performed using SPSS version 18.0, with values of p<0.01 considered statistically significant. RESULTS BREAST-Q analysis, showed a significative improvement of QoL in Psychosocial Well-Being, Sexual Well-being, Physical Well-Being Chest scale and Satisfaction with Breast (p<0.01). Of the 71 pairs, 60 had a concordant judgment between patient and surgeon and 11 discordant. The score expressed by the patients (4.35±0.69) was on average higher than that of the third-party observers (3.88±0.58) with p<0.001. CONCLUSIONS Patient satisfaction is the main goal following the success of a surgical or medical procedure. BREAST-Q and photographic support are 2 important tools in the preoperative visit to understand the patient's real expectations.