Aesthetic outcomes in women undergoing breast‐conserving therapy followed by mastectomy and microsurgical reconstruction

Khansa, Ibrahim; Boehmler, James H.

doi:10.1002/micr.22225

Cited by 7 publications

(2 citation statements)

References 22 publications

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“…Esthetic outcomes were evaluated in our study using standardized patient photos and a Likert scale to rate results, which has precedent in the literature 18 . No difference was seen in ratings of volume, shape, symmetry, or overall cosmesis, although position was rated significantly better in subpectoral reconstructions.…”

Section: Discussionmentioning

confidence: 99%

Prepectoral Versus Subpectoral Breast Reconstruction in High–Body Mass Index Patients

et al. 2021

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Background The effect of body mass index (BMI) on complication rates in prepectoral implant-based breast reconstruction is not well established. The purpose of this study was to compare complication rates between different BMI groups in subpectoral and prepectoral reconstruction. Methods A single-surgeon, 4-year, retrospective review was performed of consecutive prosthetic breast reconstructions. During this time, the senior author's practice shifted from a subpectoral to prepectoral technique. Patients were stratified into BMI subgroups (<25, 25–35, and >35 kg/m2) and complication rates were analyzed. A survey was administered to blinded medical personnel and patients comparing esthetic results. Results Implant-based reconstructions were performed in 195 patients (103 subpectoral and 92 prepectoral). No significant difference in major complication rate was observed between techniques. Among patients with BMI greater than 35 kg/m2, implant exposure occurred at a significantly higher rate in the prepectoral group (P = 0.04). In patients with BMI greater than 25 kg/m2, minor asymmetry was more prevalent with prepectoral reconstruction (12.3% vs 0%; P = 0.02). Regardless of technique, the odds of reoperation increased by 7% per point increase in BMI, although this did not reach statistical significance (P = 0.07; odds ratio, 1.07; 95% confidence interval, 0.99–1.15). A total of 66 survey responses were received. Physicians rated esthetic results more positively than patients did. Patients with a BMI of less than 25 kg/m2 were rated better than other BMI groups in nearly all categories. The position of submuscular reconstruction was rated significantly better than prepectoral. Conclusions There is a trend toward higher complication rates in prepectoral versus subpectoral breast reconstruction with increasing BMI. Nonetheless, the technique appears to be safe, with comparable clinical and cosmetic results.

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Section: Discussionmentioning

confidence: 99%

Prepectoral Versus Subpectoral Breast Reconstruction in High–Body Mass Index Patients

et al. 2021

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“…With advances in science and surgery, with respect to woman's physical and psychosocial integrity, breast reconstruction has now become an indispensable part of modern day breast surgery. [10] A huge armamentarium of plastic surgery techniques are available for performing immediate or delayed breast reconstruction after mastectomy. The most recent change in breast surgery is the development of oncoplastic indications at the time of primary surgery.…”

Section: Section: Surgerymentioning

confidence: 99%

Primary Breast Reconstruction in a Young Patient with Locally Advanced Breast Cancer (LABC)

Kumar¹,

Pal²,

Raval³

et al. 2016

AIMDR

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Breast cancer is the most common malignancy diagnosed worldwide. Breast cancer management represents an exemplary model of multidisciplinary management. The combined modality approach to treatment of breast cancer that includes primary surgery, radiation therapy, chemotherapy needs careful integration of these modalities with new methods of reconstructive breast surgery. The multidisciplinary approach has been associated with a reduction in breast cancer mortality. We present an interesting case of infiltrating ductal carcinoma, who presented as a locally advanced breast cancer in a very young patient who underwent neoadjuvant chemotherapy followed by modified radical mastectomy and primary breast reconstruction with latissimus dorsii flap. Our patient has recovered without any complications and is being prepared for adjuvant chemotherapy. All patients should undergo receptor testing which helps us in individualizing the treatment. The choice between breast conservation and mastectomy after neoadjuvant treatment is dependent on the treatment response and patient characteristics.

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Surgery for Locally Recurrent Breast Cancer

Agresti

Spanò

Bianchi

et al. 2017

Breast Cancer Management for Surgeons

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Aesthetic outcomes in women undergoing breast‐conserving therapy followed by mastectomy and microsurgical reconstruction

Abstract: When advising patients with early-stage breast cancer, the superior aesthetic outcome of mastectomy and microsurgical reconstruction compared to BCT must be weighed against disadvantages such as loss of sensation, length of surgery, and donor-site morbidity.

Cited by 7 publications

References 22 publications

Prepectoral Versus Subpectoral Breast Reconstruction in High–Body Mass Index Patients

Prepectoral Versus Subpectoral Breast Reconstruction in High–Body Mass Index Patients

Primary Breast Reconstruction in a Young Patient with Locally Advanced Breast Cancer (LABC)

Surgery for Locally Recurrent Breast Cancer

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