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Updated: Dec 20, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Physical side-effects following breast reconstructive surgery impact physical activity and function.

Deirdre E McGhee1, Julie R Steele2

  • 1Biomechanics Research Laboratory, School of Medicine, Faculty of Science, Medicine & Health, University of Wollongong, Northfields Avenue, Wollongong, New South Wales, 2522, Australia. dmcghee@uow.edu.au.

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
|May 30, 2020
PubMed
Summary

Many women experience moderate to severe physical side effects after breast reconstruction surgery, impacting their physical function and activity. Early interventions are recommended to manage these common issues.

Keywords:
Breast cancer, breast reconstructionPhysical side-effects, physical activity

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Patient Outcomes

Background:

  • Breast reconstructive surgery aims to restore appearance and symmetry after mastectomy.
  • Understanding the long-term physical side effects is crucial for patient well-being.
  • Physical function and activity levels can be significantly affected post-surgery.

Purpose of the Study:

  • To determine the incidence and severity of physical side effects following breast reconstruction.
  • To assess the impact of these side effects on women's physical activity and function.

Main Methods:

  • A retrospective study involving 231 Australian women who underwent breast reconstruction.
  • Self-reported data on the incidence and severity of eight physical side effects and their impact on six physical functions at three time points post-surgery.
  • Statistical analysis including Chi-squared tests and general linear regression.

Main Results:

  • Approximately 50% of women reported moderate to very high physical side effect scores at 6 months post-surgery.
  • These side effects were perceived to limit physical function and activity.
  • Higher incidence/severity scores were linked to pre-existing conditions, post-operative complications, and autologous reconstruction.

Conclusions:

  • A significant proportion of women experience moderate to severe physical side effects after breast reconstruction.
  • These side effects negatively impact physical function and activity.
  • Recommends early intervention, education, and treatment to mitigate these effects.