Structural and sociodemographic determinants of BREAST-Q outcomes after gender-affirming breast augmentation in transgender women.

Publication/Presentation Date

7-1-2026

Abstract

PURPOSE: Sociodemographic factors are associated with disparities in postoperative outcomes after gender-affirming surgery, yet their relationship with patient-reported outcomes after gender-affirming breast augmentation remains unclear. We evaluated associations between patient-level and structural factors and patient-reported outcome measures (PROMs) among transgender women after breast augmentation.

METHODS: Patients who underwent gender-affirming breast augmentation from 2015 to 2023 at two affiliated institutions, a county safety-net hospital and an academic medical center, were recruited to complete a postoperative BREAST-Q Augmentation Module survey ≥ 12 months after surgery. Six subscales were analyzed. Univariate linear regression was used to assess associations between sociodemographic, clinical, and surgical factors and BREAST-Q scores.

RESULTS: Among 270 eligible patients, 65 (24 %) completed the BREAST-Q ≥ 1 year post-augmentation. Surgeries performed at the county hospital correlated with lower satisfaction with breasts (β = -15.45;

CONCLUSION: After gender-affirming breast augmentation, patient-reported satisfaction and well-being among transgender women undergoing breast augmentation appear to be shaped more by structural context and patient-level factors rather than by the technical factors of the operation alone.

Volume

50

First Page

506

Last Page

517

ISSN

2352-5878

Disciplines

Medicine and Health Sciences

PubMedID

42292053

Department(s)

Fellows and Residents

Document Type

Article

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