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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

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Racial Disparities in Oncoplastic Reduction Mammoplasty and Mastopexy Outcomes.

Karie G Villanueva¹, Rebecca L DeSanti¹, Arielle N Roberts¹

¹Division of Plastic and Reconstructive Surgery, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.

Plastic and Reconstructive Surgery

|March 18, 2026

Summary

Oncoplastic breast surgery shows comparable complication rates for Black and White patients. While Black patients reported lower quality of life scores at one year, oncoplastic surgery appears a viable option for this population.

Keywords:

Oncoplastic surgery mastopexy patient-reported outcomes racial disparities reduction mammoplasty surgical outcomes

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Processing of Human Reduction Mammoplasty and Mastectomy Tissues for Cell Culture

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Processing of Human Reduction Mammoplasty and Mastectomy Tissues for Cell Culture

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Published on: January 3, 2013

Area of Science:

Plastic Surgery
Oncologic Surgery
Health Disparities Research

Background:

Black race is linked to poorer outcomes in traditional breast reconstruction.
The impact of race on oncoplastic surgery outcomes is not well-established.
This study investigates racial disparities in oncoplastic breast surgery.

Purpose of the Study:

To evaluate the influence of race on surgical outcomes.
To assess patient-reported outcomes in Black versus White patients undergoing oncoplastic surgery.
To determine if racial disparities exist in the context of oncoplastic breast surgery.

Main Methods:

Retrospective review of 518 patients undergoing oncoplastic surgery (reduction mammoplasty or mastopexy).
Comparison of postoperative complications and patient-reported outcomes (BREAST-Q).
Multivariable logistic regression identified factors associated with complications.

Main Results:

No significant difference in overall complication rates between Black and White patients.
Elevated BMI independently predicted increased complication risk; race did not.
Black patients reported significantly lower BREAST-Q scores at 1 year post-surgery.

Conclusions:

Oncoplastic surgery demonstrates comparable complication rates for Black and White patients.
Patient-reported outcomes are largely similar, with a noted difference at 1 year.
Oncoplastic surgery may be a suitable option for Black patients, warranting further research.