Beyond Mastectomy: The Incidence of Subsequent Aesthetic Procedures after Mastectomy with and without Breast Reconstruction
Elizabeth S O'Neill1, John A Toms1,2, Marek A Hansdorfer1
1From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Rush University Medical Center, Chicago, Ill.
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View abstract on PubMed
Women undergoing mastectomy with breast reconstruction are more likely to have subsequent aesthetic procedures than those without reconstruction. This highlights the ongoing reconstructive and aesthetic journey post-mastectomy.
Area of Science:
- Oncology
- Plastic Surgery
- Health Services Research
Background:
- Mastectomy significantly impacts body image and psychological well-being.
- Breast reconstruction is crucial for postoperative quality of life.
- Limited data exists on subsequent aesthetic procedures after mastectomy and reconstruction.
Purpose of the Study:
- To analyze trends in aesthetic procedures in patients following mastectomy.
- To compare aesthetic procedure rates between patients with and without breast reconstruction.
Main Methods:
- Utilized the PearlDiver database for patient data.
- Identified patients who underwent mastectomy with and without breast reconstruction.
- Compared rates of subsequent aesthetic procedures between the two cohorts.
Main Results:
- Analyzed 365,525 mastectomy patients (282,815 without reconstruction, 82,710 with reconstruction).
- 609 patients with reconstruction and 329 without had subsequent aesthetic procedures.
- The rate of aesthetic procedures was significantly higher in the reconstruction group (0.7%) versus the non-reconstruction group (0.1%; P < 0.001).
Conclusions:
- Breast reconstruction patients undergo more aesthetic procedures post-mastectomy.
- Findings suggest a longitudinal reconstructive and aesthetic journey.
- Further research is needed on motivations, patient-reported outcomes, and satisfaction.