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Updated: Oct 22, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Dissatisfaction After Post-Mastectomy Breast Reconstruction: A Mixed-Methods Study.

Ronnie L Shammas1, Laura J Fish2,3, Amanda R Sergesketter1

  • 1Division of Plastic, Maxillofacial, and Oral Surgery, Duke University, Durham, NC, USA.

Annals of Surgical Oncology
|August 30, 2021
PubMed
Summary
This summary is machine-generated.

Many women are dissatisfied with breast reconstruction outcomes due to physical, sexual, and psychosocial factors. Improved preoperative education and shared decision-making are crucial for managing patient expectations and enhancing satisfaction.

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Area of Science:

  • Plastic Surgery
  • Oncology
  • Patient Reported Outcomes

Background:

  • Breast reconstruction significantly impacts patient well-being post-mastectomy.
  • Factors influencing patient satisfaction with breast reconstruction are not fully understood.

Purpose of the Study:

  • To explore lived experiences of women undergoing breast reconstruction.
  • To identify key factors contributing to satisfaction and dissatisfaction with reconstructive care.

Main Methods:

  • Semi-structured interviews with adult women (2015-2019) post-mastectomy breast reconstruction.
  • Utilized the BREAST-Q for patient-reported outcomes.
  • Convergent mixed-methods analysis of interview content and BREAST-Q scores.

Main Results:

  • Dissatisfaction stemmed from breast aesthetics (asymmetry, size), sensation loss, and physical discomfort.
  • Sexual well-being was impacted by perceived breast shape and feel.
  • Psychosocial well-being suffered due to unexpected appearance affecting self-confidence and identity.

Conclusions:

  • Patients often face unexpected physical, sexual, and psychosocial challenges after breast reconstruction.
  • Enhanced preoperative education and shared decision-making are vital.
  • Mitigating unexpected outcomes can improve overall patient satisfaction.