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Scar Wars: Preferences in Breast Surgery.

Cormac W Joyce1, Siun Murphy2, Stephen Murphy1

  • 1Department of Plastic Surgery, University Hospital Galway, Galway, Ireland.

Archives of Plastic Surgery
|October 3, 2015
PubMed
Summary
This summary is machine-generated.

Patient preferences for surgical scars in breast reconstruction are often overlooked. While many patients don't prioritize scar appearance, partner opinions and specific scar patterns, like those from deep inferior epigastric artery perforator (DIEP) flaps, significantly influence choices.

Keywords:
BreastCicatrixMammaplasty

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Area of Science:

  • Plastic Surgery
  • Oncoplastic Surgery
  • Patient-Reported Outcomes

Background:

  • Breast reconstruction uptake is increasing, encompassing implants and free tissue transfer.
  • Scarring is a significant source of patient morbidity and litigation, yet often overlooked in counseling.
  • Patient perspectives on scarring in breast oncoplastic and reconstructive surgery are not well understood.

Purpose of the Study:

  • To investigate the scarring preferences of both men and women undergoing breast oncoplastic and reconstructive surgery.
  • To understand patient and partner opinions on scar patterns resulting from various breast procedures.
  • To inform surgical planning and patient counseling regarding scar outcomes.

Main Methods:

  • A questionnaire assessing opinions on scarring was administered to 500 men and women.
  • Participants ranked common scar patterns from wide local excisions, oncoplastic procedures, and reconstructions.
  • Scar preferences for different flap donor sites, including the deep inferior epigastric artery perforator (DIEP) flap, were evaluated.

Main Results:

  • 58% of participants did not consider scars important post-breast cancer surgery.
  • 61% stated their partner's opinion on scars was important.
  • The lower lateral quadrant scar was preferred for wide local excision, while DIEP flap scars were most favored for reconstruction; however, DIEP donor sites were least preferred.

Conclusions:

  • Scarring extent and position are critical factors in breast surgery planning and reconstruction option selection.
  • Patient and partner opinions on scar patterns require greater consideration.
  • Further research into patient preferences for scar patterns is warranted.