Aesthetic and Functional Outcomes of Reduction Mammoplasty for Gigantomastia: Insights from a Multidimensional Patient-Reported Analysis Using BREAST-Q

Background: Breast hypertrophy significantly impairs quality of life, causing musculoskeletal pain, poor posture, and psychological distress, including reduced self-esteem.Reduction mammoplasty offers a surgical approach to mitigate these challenges.We evaluated patient satisfaction with aesthetic and functional outcomes following the procedure at a specialized referral center.Methods: This retrospective, cross-sectional analysis was conducted on 16 patients who underwent reduction mammoplasty for gigantomastia in the Hospital General "Dr.Manuel Gea González" Mexico City, Mexico from January 1, 2022, to July 31, 2024.Data from medical records included demographics (age, BMI), surgical indications, resected tissue weight, and BREAST-Q responses assessing satisfaction with breast appearance, surgical outcomes, and psychosocial, physical, and sexual well-being.Results: Patients had a mean age of 46.5 years, with 43.7% classified as obese.Physical discomfort was the primary surgical indication (62.5%), and 62.5% had 501-1000 g of tissue resected.High satisfaction was reported for surgical outcomes (87.5%) and physical well-being (93.7%), yet dissatisfaction was notable with breast appearance (56.2%), psychosocial well-being (100%), and sexual well-being (81.2%).Satisfaction with the surgeon was 87.5%, and with other staff, 62.5%. Conclusion:Reduction mammoplasty effectively improves physical health and surgical satisfaction; however, persistent dissatisfaction with aesthetic and psychosocial outcomes highlights the need for enhanced preoperative counseling.Tailored discussions could better align patient expectations with achievable results, improving overall care.