highly significantp<0.0001
59 Bostanci et al found a significant improvement in both the psychosocial and physical measures postoperatively and highly significant effect on the overall QoL (all p<0.0001). 54 A smaller cohort study looking more specifically at body image perception found a significant improvement postoperatively. 55 Kim et al also observed a positive impact on patients’ QoL and found this to be evident early post-operatively and persistent lo