Assessment of Women's Quality of Life Following Primary Breast Augmentation Based on a Validated Polish Breast-Q Survey.

Abstract

Breast augmentation is among the most performed plastic surgeries worldwide, with growing relevance for both aesthetic enhancement and psychological well-being. This study aimed to evaluate the impact of primary breast augmentation on patients' life satisfaction. A prospective study was conducted in 44 women undergoing primary breast augmentation. Outcomes were assessed using the validated Polish version of the BREAST-Q questionnaire preoperatively and at 3, 6, and 12 months postoperatively. Changes over time and correlations between domains were analyzed. Significant improvements in quality of life were observed, particularly in psychosocial and sexual well-being. Psychosocial well-being increased from 50.8 ± 19.8 preoperatively to 91.5 ± 12.6 at 12 months, while sexual well-being improved from 47.1 ± 22.9 to 87.5 ± 14.9. Physical well-being showed a transient decline at 3 months, followed by recovery to near-baseline levels at 12 months. Satisfaction with breasts increased markedly over time. The procedure demonstrated a low complication rate, with one major complication and no cases requiring reoperation. Primary breast augmentation leads to significant and sustained improvements in patient-reported quality of life and satisfaction. Despite a transient decline in physical well-being, recovery occurs over time. These findings support breast augmentation as a safe and effective intervention for improving patient-reported outcomes.