Women undergoing autologous breast reconstruction—in which the breast is reconstructed using the patient's own tissues—report higher satisfaction with their breasts at follow-up, compared to those undergoing implant-based reconstruction, reports a study in a special October supplement to Plastic & Reconstructive Surgery.
Women undergoing autologous breast reconstruction—in which the breast is reconstructed using the patient's own tissues—report higher satisfaction with their breasts at follow-up, compared to those undergoing implant-based reconstruction, reports"The findings were unexpected, since autologous breast reconstruction is a more complex procedure, with a higher rate of severe complications," comments lead author Nadia Sadok, MD, Ph.D.
Using the validated BREAST-Q questionnaire, patients rated"satisfaction with breasts" and other QoL outcomes beforeand at six weeks and six months afterward. Before surgery, women in the autologous group had lower scores on all BREAST-Q measures. That included lower scores for satisfaction with breasts: average 49 points compared to 59 points for women choosing implant-based reconstruction.
However, the BREAST-Q ratings told a different story. Women undergoing autologous reconstruction had higher scores for satisfaction with breasts at both six weeks and six months . Scores for satisfaction with breasts were higher for women who underwent immediate versus delayed reconstruction, and for those who had one-stage versus two-stage reconstruction.
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