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Updated: Jan 22, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Decision-making determinants for breast reconstruction in women over 65 years old
Julie Quemener1, Jennifer Wallet2, Loic Boulanger1
1Department of Surgery, Centre Oscar Lambret, Lille, France.
Abstract:
Despite the positive effects that breast reconstruction (BR) has on quality of life, access to it remains limited for older women. The aim of this study was to identify decision-making determinants for BR in women over 65 years old, using a specifically designed questionnaire. We included in a case-control study 134 patients treated by mastectomy for breast cancer with or without BR in a cancer center performing BR. We showed higher motivation scores and quality of delivered information in the BR group. Surgeons are a key in convincing elderly patients that their age should no longer be an obstacle to BR.
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