Related Experiment Video
Updated: Sep 17, 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
3.0K
Oncoplastic Breast Reconstruction Complications and Patient-Reported Outcomes
Shivani Mysuria1,2, Elaine McKevitt1,2,3, Rebecca Warburton1,2,3
1Providence Breast Centre, Mount Saint Joseph Hospital, Vancouver, BC, Canada.
Plastic Surgery (Oakville, Ont.)
|July 3, 2025
Summary
Oncoplastic breast reconstruction (OBR) is a safe procedure for breast cancer patients with macromastia or ptosis. Patients reported high satisfaction, with minor complications managed effectively.
Area of Science:
- Plastic Surgery
- Oncology
- Breast Surgery
Background:
- Oncoplastic breast reconstruction (OBR) integrates breast conservation with reduction or reconstruction techniques.
- It is suitable for breast cancer patients with macromastia and/or ptosis desiring breast conservation and reduction.
- This approach aims to improve aesthetic outcomes while treating breast cancer.
Purpose of the Study:
- To evaluate the complication rates and patient-reported outcomes of Oncoplastic Breast Reconstruction (OBR).
- To identify risk factors associated with post-surgical complications in OBR patients.
Main Methods:
- Retrospective review of consecutive OBR cases from April 2009 to April 2020.
- Data collected from prospectively maintained databases and electronic medical records.
- Univariate logistic regression analysis for risk factors of complications; BREAST-Q 2.0 for patient satisfaction.
Main Results:
- Of 81 patients, 22 experienced 25 complications (Clavien-Dindo grade 1).
- Increased specimen weight (ipsilateral and contralateral) and higher ASA scores correlated with higher complication odds.
- 37 patients completed the BREAST-Q, reporting high satisfaction with care providers.
Conclusions:
- Oncoplastic breast reconstruction (OBR) demonstrates favorable patient-reported outcomes and satisfaction.
- Complications are generally minor and manageable with conservative, office-based care.
- OBR is a well-tolerated oncologic and reconstructive surgical option.
