Paramedic Micropigmentation in Areols as a Factor in The Improvement of the Quality of Life of Mastectomized Women

Objective: To verify the influence of paramedical micro pigmentation on areolas on the quality of life of mastectomized women with breast reconstruction. Method: The study was conducted with fifteen volunteers with a mean age of 51.87 ± 12.13 years, submitted to mastectomy in an average time of 12.9± 35 months, followed by breast reconstruction with a mean time of 9.6± 9.91 months and who underwent the treatment of areolar paramedical micro pigmentation with an average time of 18.31 ± 10.45 months. In the micro pigmentation of the areolas was using the needle of one and three tips, with pigments. Later, they were evaluated by analysis of photographic images, by the Breast Cancer Scale - FACT-B. In addition, the volunteers answered a questionnaire that corresponded to the quality of life after breast reconstruction - EORTC QLQ - BRECON23. Descriptive analysis and the ANOVA test followed by Tukey (p<0.05) were used. Results: It was verified in the EORTC-BR23 questionnaire that the volunteers presented scores that indicated the side effects of treatment and symptoms at the place of withdrawal, low level of symptomatology or problems. However, for the scores satisfaction with the nipples and sexual function there was a low degree of satisfaction. Regarding the FACT-B questionnaire, in the additional concerns domain, an average value of 215.16 was observed, while the satisfaction of the volunteers was lower in the social/family well-being domains with significant mean values of 23.64, and functional well-being of 18.13 (p<0.05). Conclusion: It is concluded that micro pigmentation after breast reconstruction becomes acceptable with regard to the self-esteem of volunteers, allowing (re)inclusion in society for improvement of their self-esteem, self-image and thus promoting improvement in quality of life.