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Journal of plastic, reconstructive & aesthetic surgery : JPRAS · 2026

Long-term psychosocial benefits after combined abdominoplasty and breast surgery in postpartum women: A prospective 12-month study.

СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Toto V, Faiola A, Ponzo M, Pazzaglia M, De Donato F, Gratteri M, Romano F D, Marangi Giovanni Francesco, Persichetti P

Аннотация

BACKGROUND: The combined surgical correction of abdominal wall laxity and breast ptosis-commonly referred to as the "mommy makeover"-has gained widespread popularity among postpartum women. Although esthetic benefits are well recognized, the procedure's long-term psychosocial impact remains insufficiently characterized. We prospectively evaluated the effects of combined body contouring surgery on health-related quality of life and psychological well-being in postpartum patients.

METHODS: A prospective observational study was conducted at the Campus Bio-Medico University Hospital (Rome) between September 2023 and October 2024. Thirty-six postpartum women with diastasis recti underwent abdominoplasty in combination with breast surgery (augmentation, reduction, or mastopexy). Validated patient-reported outcome measures-including the Short Form Health Survey, Rosenberg Self-Esteem Scale, and Psychological General Well-Being Index, short form-were administered at baseline (T0), 3 months (T1), and 12 months (T2) postoperatively. Outcomes were modeled using linear mixed-effects models across T0-T1-T2; paired contrasts (T2 vs. T0; T1 vs. T0) are also reported.

RESULTS: Significant improvements were observed at 12 months postoperatively across multiple SF-36 domains, including Physical Functioning (+10.1; p = 0.045), Energy/Fatigue (+11.4; p = 0.031), Pain (-4.9; p = 0.040), Social Functioning (+1.9; p = 0.020), and General Health Perception (+10.2; p = 0.028). Self-esteem scores increased significantly (mean change: +4.53; p < 0.001), as did PGWBI-S domains related to Self-Control and Positive Well-Being (p < 0.001). No major complications were reported and all patients completed the follow-up protocol.

CONCLUSIONS: The mommy makeover is associated with substantial and sustained gains in physical and psychological quality of life in postpartum women. These findings support the procedure's role as a holistic, patient-centered intervention that extends beyond cosmetic restoration to include measurable psychosocial recovery. Larger controlled studies are warranted to further validate these results and refine patient selection criteria.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты