title: Quality of Life and Aesthetic Plastic Surgery: A Systematic Review and Meta-analysis.
abstract: Quality of life (QoL) is an important outcome in plastic surgery. However, authors use different scales to address this subject, making it difficult to compare the outcomes. To address this discrepancy, the aim of this study was to perform a systematic review and a random effect meta-analysis.
  
  
  METHODS
  The search was made in two electronic databases (LILACS and PUBMED) using Mesh and non-Mesh terms related to aesthetic plastic surgery and QoL. We performed qualitative and quantitative analyses of the gathered data. We calculated a random effect meta-analysis with Der Simonian and Laird as variance estimator to compare pre- and postoperative QoL standardized mean difference. To check if there is difference between aesthetic surgeries, we compared reduction mammoplasty to other aesthetic surgeries.
  
  
  RESULTS
  Of 1,715 identified, 20 studies were included in the qualitative analysis and 16 went through quantitative analysis. The random effect of all aesthetic surgeries shows that QoL improved after surgery. Reduction mammoplasty has improved QoL more than other procedures in social functioning and physical functioning domains.
  
  
  CONCLUSIONS
  Aesthetic plastic surgery increases QoL. Reduction mammoplasty seems to have better improvement compared with other aesthetic surgeries.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Federal University of Health Sciences of Porto Alegre - UFCSPA, Porto Alegre, RS Brazil; Santa Casa de Misericórdia de Porto Alegre- ISCMPA, Santa Casa de Misericórdia de Porto Alegre- ISCMPA; and UFCSPA Medical School Academic.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Dreher
authors.affiliation: Department of Plastic and Reconstructive Surgery, Federal University of Health Sciences of Porto Alegre - UFCSPA, Porto Alegre, RS Brazil; Santa Casa de Misericórdia de Porto Alegre- ISCMPA, Santa Casa de Misericórdia de Porto Alegre- ISCMPA; and UFCSPA Medical School Academic.
authors.forename: Carolina
authors.initials: C
authors.lastname: Blaya
authors.affiliation: Department of Plastic and Reconstructive Surgery, Federal University of Health Sciences of Porto Alegre - UFCSPA, Porto Alegre, RS Brazil; Santa Casa de Misericórdia de Porto Alegre- ISCMPA, Santa Casa de Misericórdia de Porto Alegre- ISCMPA; and UFCSPA Medical School Academic.
authors.forename: Juliana L C
authors.initials: JL
authors.lastname: Tenório
authors.affiliation: Department of Plastic and Reconstructive Surgery, Federal University of Health Sciences of Porto Alegre - UFCSPA, Porto Alegre, RS Brazil; Santa Casa de Misericórdia de Porto Alegre- ISCMPA, Santa Casa de Misericórdia de Porto Alegre- ISCMPA; and UFCSPA Medical School Academic.
authors.forename: Renato
authors.initials: R
authors.lastname: Saltz
authors.affiliation: Department of Plastic and Reconstructive Surgery, Federal University of Health Sciences of Porto Alegre - UFCSPA, Porto Alegre, RS Brazil; Santa Casa de Misericórdia de Porto Alegre- ISCMPA, Santa Casa de Misericórdia de Porto Alegre- ISCMPA; and UFCSPA Medical School Academic.
authors.forename: Pedro B
authors.initials: PB
authors.lastname: Ely
authors.affiliation: Department of Plastic and Reconstructive Surgery, Federal University of Health Sciences of Porto Alegre - UFCSPA, Porto Alegre, RS Brazil; Santa Casa de Misericórdia de Porto Alegre- ISCMPA, Santa Casa de Misericórdia de Porto Alegre- ISCMPA; and UFCSPA Medical School Academic.
authors.forename: Ygor A
authors.initials: YA
authors.lastname: Ferrão