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Updated: Sep 20, 2025
13:35
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
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Social support holds protective value in breast reconstruction
Jacquelyn Roth1, Bernice Z Yu1, Ethan Fung1
1Division of Plastic and Maxillofacial Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA.
Summary
Having a partner significantly reduces complications after breast reconstruction surgery. This highlights the importance of social support in optimizing patient recovery and improving surgical outcomes.
Area of Science:
- Plastic Surgery
- Surgical Outcomes Research
- Social Determinants of Health
Background:
- Social support is a known factor influencing surgical outcomes.
- Its specific impact on breast reconstruction recovery is not well-defined.
- This study investigates social support's role in breast reconstruction.
Purpose of the Study:
- To evaluate the association between preoperative social support characteristics and breast reconstruction outcomes.
- To identify specific social factors that may predict post-operative complications.
Main Methods:
- Retrospective review of 1466 breast reconstruction patients (2017-2023).
- Analysis of relationship status, household composition, and support person presence.
- Univariable and multivariable regression analyses for post-operative complications.
Main Results:
- Patients with a partner had significantly lower odds of any complication, dehiscence, and necrosis.
- Multivariable analysis confirmed that having a partner predicted fewer overall complications and dehiscence.
- Living arrangements and presence of a support person were not predictive of complications.
Conclusions:
- A partner is a significant predictor of reduced complications in breast reconstruction.
- Social support, particularly having a partner, is crucial for optimizing recovery.
- Integrating social support assessments into preoperative care can improve patient outcomes and reduce disparities.
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