title: Bigger is not always better: body image dissatisfaction in breast reduction and breast augmentation patients.
abstract: This study investigated body image dissatisfaction in breast reduction and breast augmentation patients. Thirty breast reduction and 30 breast augmentation patients completed two body image measures preoperatively. Breast reduction patients reported greater dissatisfaction with their overall body image as compared with breast augmentation patients, part of which can be understood as a function of their increased body weight. When asked specifically about their breasts, reduction patients displayed increased body image dysphoria and maladaptive behavioral change, including embarrassment about their breasts in public areas and social settings and avoidance of physical activity. Results are discussed in the context of ideal body weight cutoffs by third-party payers for reimbursement for breast reduction. Recommendations for reimbursement criteria that de-emphasize the role of body weight are made.
authors.affiliation: Edwin and Fannie Gray Hall Center for Human Appearance, and Department of Psychiatry at the University of Pennsylvania School of Medicine, Philadelphia 19104, USA.
authors.forename: D B
authors.initials: DB
authors.lastname: Sarwer
authors.forename: S P
authors.initials: SP
authors.lastname: Bartlett
authors.forename: L P
authors.initials: LP
authors.lastname: Bucky
authors.forename: D
authors.initials: D
authors.lastname: LaRossa
authors.forename: D W
authors.initials: DW
authors.lastname: Low
authors.forename: M J
authors.initials: MJ
authors.lastname: Pertschuk
authors.forename: T A
authors.initials: TA
authors.lastname: Wadden
authors.forename: L A
authors.initials: LA
authors.lastname: Whitaker
mesh_terms: D000328:Adult; D001828:Body Image; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000523:psychology*