Search

Summary: Background: Cosmetic breast augmentation is becoming increasingly popular and acceptable to women in France. This prospective and multicenter study aims to investigate whether breast augmentation surgery for aesthetic purposes leads to improved body image, self-esteem, depression problems and sexuality. We also sought to analyze the sociodemographic profile of woman who underwent this surgery. Patients and methods: This study was conducted in France, from March 2009 to March 2011. One hundred and eighty-one patients were included in the survey. We used questionnaires to analyze body image, self-esteem, sexuality, depression, motivations and the sociodemographic profile of the patients before surgery and 6 months after. Questionnaires that were answered were returned in an anonymous way to the investigators to guarantee a blinded survey. Results: The findings showed that women who underwent breast augmentation were mostly employed, married and aged between 20 and 30 years. Analyses revealed a significant improvement in body image, self-esteem and depressive symptoms, 6 months after surgery. Correlations between body image and self-esteem and between depression and self-esteem were also demonstrated. Only sexuality was almost unchanged after the procedure. Finally, a change of body image induced by breast augmentation surgery would improve self-esteem and thus reduce the signs for a depression. Conclusion: As with any request for aesthetic surgery, the desire for morphological breast surgery must be analyzed accurately and requires very thorough questioning by the plastic surgeon. The expected result is not only morphological but also psychological, as outlined in our study. The goal of breast augmentation surgery is to create a physical result that matches the expected body image in order to improve the patient''s body image and self-esteem and so, bring the patient to recognize herself. Under these conditions, cosmetic breast augmentation surgery will assume a therapeutic function. [Copyright &y& Elsevier]

Abstract: Standpoint of surgeon about the french legislation on breast implant surgery in 2005. All possible proceedings in France are listed: Ordinal court (Deontology and professional risks), Civil court (Sharing of the costs and after-effects), Penal court (Personal punishement) and recently National Office on therapeutic hazards. Sinistrality observed in one insurance practice, in France, is described (1999-2004). Preparation of surgeon''s defence is described, particulary for the expertal debate, indispensable preliminar before lawsuit in France. [Copyright &y& Elsevier]

Aesthetic medicine is booming, and expanding Internet delivery is not controlled by health authorities. More than ever, conditions are thus favorable for patient self-injection. We present the case of a 45-year-old woman self-injected in breast with hyaluronic acid purchased on the Internet. She developed a bilateral breast infection treated with antibiotic treatment. Despite the ban on the use of filler in the breast by our health authorities since 2011, we will talk about the management of this type of patient. In light of this complication, we will discuss the public health issue raised by the development of the injectable products market. We wish to emphasize in France the emergency of establishing a strict legal framework for the use of fillers., (Copyright © 2020 Elsevier Masson SAS. All rights reserved.)