Determinants of breast reconstruction outcome: How important is volume symmetry?

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Jia Miin YipNicola R Dean

Abstract

Breast reconstruction has established psychosocial benefit compared to mastectomy alone. Evaluation of determinants of breast reconstruction outcome has previously been limited by lack of high quality, condition-specific, patient-reported outcomes measures. The BREAST-Q is such a measure and is well suited to comparison against objective measurements of reconstructed breasts such as volume and volume symmetry. A cohort of patients who had undergone breast reconstruction over a 14 year period underwent assessment of their breast reconstructions using a 3D laser scanning technique and at the same time completed the BREAST-Q patient reported outcomes measure. The objective data derived from the 3D laser scans were then compared to the quantitative data from the patient-reported outcomes measure. Internal comparisons between domains of the BREAST-Q were also examined. 119 patients completed the study. No correlation was found between objectively measured post-operative volume symmetry and patient reported satisfaction with breasts. Examination of a specific question of the BREAST-Q established that patients did notice if they had breast asymmetry but that this did not translate into dissatisfaction with the breasts overall. Patient...Continue Reading

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Citations

Jul 14, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Benjamin H L HowesNicola R Dean
Aug 21, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Ryckie G WadeAndrea Figus
Sep 19, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Nicola R Dean, Tamara Crittenden
Sep 8, 2019·The Breast Journal·Banafsheh Sharif-AskaryScott T Hollenbeck
Jan 17, 2020·Plastic and Reconstructive Surgery. Global Open·Adam D GlenerScott T Hollenbeck
Jan 17, 2020·Plastic and Reconstructive Surgery. Global Open·Leonardo CattelaniSusanna Polotto
May 4, 2017·Breast Cancer Research and Treatment·Wilfried KroisFlorian Fitzal
Feb 23, 2018·Aesthetic Plastic Surgery·Sandra Faragó-MagriniBernardo Hontanilla
Nov 7, 2019·Plastic and Reconstructive Surgery·Tamara A CrittendenNicola R Dean
Sep 21, 2021·Frontiers in Psychology·Krista M NicklausMia K Markey

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