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Related Experiment Video

Updated: Jun 27, 2026

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
03:07

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial

Published on: August 19, 2025

Aesthetic outcomes in breast conservation therapy.

Howard T Wang1, Constance M Barone, Megan B Steigelman

  • 1Department of Surgery, University of Texas Health Science Center at San Antonio, TX 78229-3900, USA. wanght@uthscsa.edu

Aesthetic Surgery Journal
|December 17, 2008
PubMed
Summary
This summary is machine-generated.

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Breast conservation therapy offers equivalent survival to mastectomy, yet 28% of patients report dissatisfaction with cosmetic outcomes. Many dissatisfied patients desire reconstruction, indicating a need for improved post-treatment care and aesthetic referrals.

Area of Science:

  • Oncology
  • Plastic Surgery
  • Patient Outcomes

Background:

  • Breast conservation therapy (BCT) has gained prominence following trials showing survival parity with mastectomy.
  • Traditionally, breast reconstruction referrals were limited to mastectomy patients.
  • This shift necessitates evaluating cosmetic outcomes in BCT patients.

Purpose of the Study:

  • To quantify patient dissatisfaction with cosmetic results after BCT.
  • To identify patients with suboptimal cosmesis who may benefit from reconstruction.
  • To assess the need for plastic surgery consultation in BCT patients.

Main Methods:

  • Patient interviews and photographic assessments were conducted more than 1 year post-BCT.
  • A questionnaire evaluated patient aesthetic scores, satisfaction, and body image changes.

Related Experiment Videos

Last Updated: Jun 27, 2026

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
03:07

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial

Published on: August 19, 2025

  • Physician aesthetic scores were obtained from blinded surgical and plastic surgeons.

    • Main Results:

    • 28.3% of patients reported dissatisfaction with cosmetic results.
    • Dissatisfied patients experienced more negative body image changes (46.2% vs 6.1%, P=.02).
    • Younger age (under 52) and upper inner quadrant tumor resection were risk factors for dissatisfaction.

    Conclusions:

    • A significant percentage of BCT patients are dissatisfied with cosmetic outcomes.
    • Many dissatisfied patients are open to considering breast reconstruction.
    • These findings support routine plastic surgery consultation for BCT patients to address aesthetic concerns.