Abstract：
BACKGROUND: The correction of tuberous breast deformity with fat grafting has gained popularity in recent years, but it remains unclear whether this new technique can produce patient satisfaction levels comparable to those achieved with implant-based correction.
METHODS: This study aimed to compare patients\' satisfaction and quality of life using the BREAST-Q questionnaire after correction of tuberous breast deformity with fat grafting and implants. Twenty-four patients (36 breasts) were included in our study. Thirteen patients (15 breasts) had a correction with lipofilling (mean 2.67 interventions) and 11 patients (21 breasts) had an implant-based correction (mean 1 intervention).
RESULTS: Both fat and implant treatments showed statistically significant improvements in breast satisfaction (p value=0.001, 0.002, respectively), psychosocial (p value=0.003, 0.003, respectively), and sexual satisfaction (p value=0.008, 0.002, respectively) between the pre-treatment and post-treatment stages. However, the only statistically significant differences between the treatments were observed in the physical condition pre-treatment (p value=0.008) and sexual condition post-treatment (p value=0.030). The outcome of both treatments was not statistically different. Furthermore, the outcome exhibited a statistically significant positive linear relationship with breast satisfaction for both treatments.
CONCLUSIONS: This study suggests that lipofilling can achieve breast and outcome satisfaction comparable to that of implants, although this parity in results comes at the cost of more interventions. These preliminary results lend support to the notion that, as surgeons have access to two equally effective techniques, it is crucial to provide appropriate guidance to patients to ensure their satisfaction.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
METHODS: This study aimed to compare patients\' satisfaction and quality of life using the BREAST-Q questionnaire after correction of tuberous breast deformity with fat grafting and implants. Twenty-four patients (36 breasts) were included in our study. Thirteen patients (15 breasts) had a correction with lipofilling (mean 2.67 interventions) and 11 patients (21 breasts) had an implant-based correction (mean 1 intervention).
RESULTS: Both fat and implant treatments showed statistically significant improvements in breast satisfaction (p value=0.001, 0.002, respectively), psychosocial (p value=0.003, 0.003, respectively), and sexual satisfaction (p value=0.008, 0.002, respectively) between the pre-treatment and post-treatment stages. However, the only statistically significant differences between the treatments were observed in the physical condition pre-treatment (p value=0.008) and sexual condition post-treatment (p value=0.030). The outcome of both treatments was not statistically different. Furthermore, the outcome exhibited a statistically significant positive linear relationship with breast satisfaction for both treatments.
CONCLUSIONS: This study suggests that lipofilling can achieve breast and outcome satisfaction comparable to that of implants, although this parity in results comes at the cost of more interventions. These preliminary results lend support to the notion that, as surgeons have access to two equally effective techniques, it is crucial to provide appropriate guidance to patients to ensure their satisfaction.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
摘要：
背景：近年来，脂肪移植矫正结节性乳房畸形的方法越来越流行，但目前尚不清楚这项新技术是否能产生与植入物矫正相当的患者满意度.
方法：本研究旨在使用BREAST-Q问卷比较接受脂肪移植和植入物矫正结节性乳房畸形后患者的满意度和生活质量。我们的研究包括24例患者（36例乳房）。13例患者（15例乳房）进行了脂肪填充矫正（平均2.67次干预），11例患者（21例乳房）进行了基于植入物的矫正（平均1次干预）。
结果：脂肪和植入物治疗在乳房满意度方面均显示出统计学上的显着改善（p值分别为0.001，0.002），社会心理(p值分别=0.003，0.003)，治疗前和治疗后阶段之间的性满意度（p值分别为0.008、0.002）。然而,在治疗前的身体状况(p值=0.008)和治疗后的性状况(p值=0.030)方面观察到两种治疗之间唯一的统计学差异.两种治疗的结果没有统计学差异。此外，两种治疗的结果与乳房满意度呈显著正线性关系.
结论：这项研究表明，充脂可以达到与植入物相当的乳房和结果满意度，尽管结果的这种均等是以更多干预为代价的.这些初步结果支持了这样一种观点，因为外科医生可以使用两种同样有效的技术，为患者提供适当的指导以确保他们的满意度至关重要。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
方法：本研究旨在使用BREAST-Q问卷比较接受脂肪移植和植入物矫正结节性乳房畸形后患者的满意度和生活质量。我们的研究包括24例患者（36例乳房）。13例患者（15例乳房）进行了脂肪填充矫正（平均2.67次干预），11例患者（21例乳房）进行了基于植入物的矫正（平均1次干预）。
结果：脂肪和植入物治疗在乳房满意度方面均显示出统计学上的显着改善（p值分别为0.001，0.002），社会心理(p值分别=0.003，0.003)，治疗前和治疗后阶段之间的性满意度（p值分别为0.008、0.002）。然而,在治疗前的身体状况(p值=0.008)和治疗后的性状况(p值=0.030)方面观察到两种治疗之间唯一的统计学差异.两种治疗的结果没有统计学差异。此外，两种治疗的结果与乳房满意度呈显著正线性关系.
结论：这项研究表明，充脂可以达到与植入物相当的乳房和结果满意度，尽管结果的这种均等是以更多干预为代价的.这些初步结果支持了这样一种观点，因为外科医生可以使用两种同样有效的技术，为患者提供适当的指导以确保他们的满意度至关重要。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
