{"id":{"repo_id":"edinburgh","oai_identifier":"oai:era.ed.ac.uk:1842/40648"},"canonical_url":"https://search.dev.ndltd.org/etd/edinburgh/oai:era.ed.ac.uk:1842/40648","repository":{"repo_id":"edinburgh","name":"University of Edinburgh","base_url":"https://era.ed.ac.uk/server/oai/request"},"display":{"title":"Longevity of the health benefits of breast reduction","abstract":"​​Aesthetic surgery is available to a small number of patients of patients on the National Health Service (NHS) in Scotland, chosen from a large number of individuals who are referred for various procedures. The most popular and most frequently requested of all aesthetic procedures in the Scottish health board NHS Lothian is breast reduction surgery. ​This thesis examines the duration of the health benefits of breast reduction surgery in those who undergo it. It contains a detailed introduction to the clinical syndrome of breast dissatisfaction and a description of the Scottish Government’s Exceptional Referral Protocol that governs the Lothian aesthetic surgery pathway. A systematic review follows of the published studies that report on the duration of benefits of breast reduction surgery. A cross-sectional study is described that used the validated patient reported outcome measure (PROM) BREAST-Q to assess the body image, quality of life and satisfaction of patients who underwent breast reduction surgery in NHS Lothian up to thirteen years ago. ​It is hoped that the findings of the literature review and study that are described here will help clinicians, healthcare managers and policy makers alike reconsider the current approach to providing surgical care for those who suffer from the symptoms associated with having excessively large breasts. ​","abstract_html":"​​Aesthetic surgery is available to a small number of patients of patients on the National Health Service (NHS) in Scotland, chosen from a large number of individuals who are referred for various procedures. The most popular and most frequently requested of all aesthetic procedures in the Scottish health board NHS Lothian is breast reduction surgery. ​This thesis examines the duration of the health benefits of breast reduction surgery in those who undergo it. It contains a detailed introduction to the clinical syndrome of breast dissatisfaction and a description of the Scottish Government’s Exceptional Referral Protocol that governs the Lothian aesthetic surgery pathway. A systematic review follows of the published studies that report on the duration of benefits of breast reduction surgery. A cross-sectional study is described that used the validated patient reported outcome measure (PROM) BREAST-Q to assess the body image, quality of life and satisfaction of patients who underwent breast reduction surgery in NHS Lothian up to thirteen years ago. ​It is hoped that the findings of the literature review and study that are described here will help clinicians, healthcare managers and policy makers alike reconsider the current approach to providing surgical care for those who suffer from the symptoms associated with having excessively large breasts. ​","abstract_has_math":false,"creators":["Aditya, Hosakere Subrahmanyam"],"institution":"The University of Edinburgh","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Addison, Patrick","Stewart, Ken"],"committee_chairs":[],"committee_members":[],"year":2023,"date_issued":"2023-06-09","date_published":"2023-06-09","updated_at":"2026-07-24T02:14:11Z","subjects":["breast reduction","aesthetic surgery","outcomes","duration","BREAST-Q","cross-sectional study","systematic review"],"languages":["en"],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://dx.doi.org/10.7488/era/3409"],"render_values":[{"text":"http://dx.doi.org/10.7488/era/3409","href":"http://dx.doi.org/10.7488/era/3409","code":true}]}]},"links":{"outbound_url":"https://hdl.handle.net/1842/40648","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Addison, Patrick","Stewart, Ken"]},{"key":"dc:creator","label":"Author","values":["Aditya, Hosakere Subrahmanyam"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2023-06-09T10:46:36Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2023-06-09T10:46:36Z"]},{"key":"dc:date.issued","label":"Date","values":["2023-06-09"]},{"key":"dc:publisher","label":"Institution","values":["The University of Edinburgh"]},{"key":"dc:type","label":"Dc Type","values":["Thesis or Dissertation"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["Doctoral"]},{"key":"dc:type.qualificationname","label":"Dc Type Qualificationname","values":["MD Doctor of Medicine"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["breast reduction","aesthetic surgery","outcomes","duration","BREAST-Q","cross-sectional study","systematic review"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/1842/40648","http://dx.doi.org/10.7488/era/3409"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["​​Aesthetic surgery is available to a small number of patients of patients on the National Health Service (NHS) in Scotland, chosen from a large number of individuals who are referred for various procedures. The most popular and most frequently requested of all aesthetic procedures in the Scottish health board NHS Lothian is breast reduction surgery. ​This thesis examines the duration of the health benefits of breast reduction surgery in those who undergo it. It contains a detailed introduction to the clinical syndrome of breast dissatisfaction and a description of the Scottish Government’s Exceptional Referral Protocol that governs the Lothian aesthetic surgery pathway. A systematic review follows of the published studies that report on the duration of benefits of breast reduction surgery. A cross-sectional study is described that used the validated patient reported outcome measure (PROM) BREAST-Q to assess the body image, quality of life and satisfaction of patients who underwent breast reduction surgery in NHS Lothian up to thirteen years ago. ​It is hoped that the findings of the literature review and study that are described here will help clinicians, healthcare managers and policy makers alike reconsider the current approach to providing surgical care for those who suffer from the symptoms associated with having excessively large breasts. ​"]},{"key":"dc:title","label":"Title","values":["Longevity of the health benefits of breast reduction"]}]}],"canonical_facts":{"dc:contributor.advisor":["Addison, Patrick","Stewart, Ken"],"dc:creator":["Aditya, Hosakere Subrahmanyam"],"dc:date.accessioned":["2023-06-09T10:46:36Z"],"dc:date.available":["2023-06-09T10:46:36Z"],"dc:date.issued":["2023-06-09"],"dc:description.abstract":["​​Aesthetic surgery is available to a small number of patients of patients on the National Health Service (NHS) in Scotland, chosen from a large number of individuals who are referred for various procedures. 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A cross-sectional study is described that used the validated patient reported outcome measure (PROM) BREAST-Q to assess the body image, quality of life and satisfaction of patients who underwent breast reduction surgery in NHS Lothian up to thirteen years ago. ​It is hoped that the findings of the literature review and study that are described here will help clinicians, healthcare managers and policy makers alike reconsider the current approach to providing surgical care for those who suffer from the symptoms associated with having excessively large breasts. ​"],"dc:identifier.uri":["https://hdl.handle.net/1842/40648","http://dx.doi.org/10.7488/era/3409"],"dc:language.iso":["en"],"dc:publisher":["The University of Edinburgh"],"dc:subject":["breast reduction","aesthetic surgery","outcomes","duration","BREAST-Q","cross-sectional study","systematic review"],"dc:title":["Longevity of the health benefits of breast reduction"],"dc:type":["Thesis or Dissertation"],"dc:type.qualificationlevel":["Doctoral"],"dc:type.qualificationname":["MD Doctor of Medicine"]},"updated_at":"2026-07-24T02:14:11Z"}