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Revision Surgery to Improve Cosmesis with Immediate Implant-Based Breast Reconstruction.
R Clough1,2, L Darragh1,3, L Maclennan1,4
1Department of Plastic Surgery, Royal Victoria Infirmary, Newcastle Upon Tyne, Newcastle Upon Tyne NHS Trust, NE1 4LP, United Kingdom.
JPRAS Open
|June 30, 2021
Summary
Revision surgery is common after immediate implant-based breast reconstruction (IBR), with many patients needing additional procedures to improve cosmetic outcomes. These revisions add significant patient burden and healthcare costs.
Area of Science:
- Plastic Surgery
- Oncology
- Reconstructive Surgery
Background:
- Immediate implant-based reconstruction (IBR) is a popular choice for breast cancer patients post-mastectomy.
- Understanding the need for revision surgery is crucial for patient counseling and resource allocation.
Purpose of the Study:
- To determine the rate of revision surgery required to improve cosmetic outcomes after immediate implant-based breast reconstruction (IBR).
Main Methods:
- Retrospective cohort study of patients undergoing IBR at a UK specialist center (June 2012-June 2013).
- Data collected included demographics, surgical details, and factors influencing cosmetic results.
- Follow-up averaged 1125 days.
Main Results:
- 39 out of 88 breasts (44.3%) required revision surgery, totaling 53 additional procedures.
- Lipomodelling (n=18) was the most frequent revision, followed by implant exchange (n=16).
- Early complications, radiotherapy, and capsular contracture significantly increased revision rates (p<0.05).
Conclusions:
- Revision surgery following immediate IBR is a substantial burden, impacting patients and incurring significant healthcare costs.
- Longer follow-up periods may correlate with a higher likelihood of revision surgery.
