title: Patient satisfaction with breasts and psychosocial, sexual, and physical well-being after breast augmentation in male-to-female transsexuals.
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.
  
  
  METHODS
  Therapeutic, IV.
authors.affiliation: 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.
authors.forename: Romain
authors.initials: R
authors.lastname: Weigert
authors.forename: Eric
authors.initials: E
authors.lastname: Frison
authors.forename: Quentin
authors.initials: Q
authors.lastname: Sessiecq
authors.forename: Khalid
authors.initials: K
authors.lastname: Al Mutairi
authors.forename: Vincent
authors.initials: V
authors.lastname: Casoli
mesh_terms: D000293:Adolescent; D000328:Adult; D001940:Breast / Q000601:surgery*; D019928:Breast Implantation / Q000379:methods / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D005783:Gender Identity; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011584:Psychology; D011788:Quality of Life / Q000523:psychology; D019529:Sexuality / Q000523:psychology*; D011795:Surveys and Questionnaires; D063106:Transgender Persons / Q000523:psychology*; D055815:Young Adult