Actor and activist Gabrielle Union and daughter, activist Zaya Wade, join the Dove Self-Esteem Project to discuss toxic beauty advice on social and #DetoxYourFeed. Dragun AE, Huang B, Tucker TC, Spanos WJ. 2020;44:664672. (Care about Racial Equity), The Selfie Talk: Self-esteem in the social media age, Race-based hair discrimination starts early, #DetoxYourFeed with the Dove Self-Esteem Project, Ending hair discrimination in the workplace: Dove & LinkedIn, Feeling Good: Celebrating Black Natural Hair, Toxic Beauty Standards in Social Media: The stats, #DetoxYourFeed with Gabrielle Union and Zaya Wade, Calling Role Models to Take Action #DetoxYourFeed, Steven Universe: Competing and comparing looks, Dove, Cartoon Network and Steven Universe, Our commitments to ending appearance hate, Do Not Sell or Share My Personal Information. Jaensson M, Dahlberg K, Nilsson U. Scarless Circum-Areola incision 4 II. Since its introduction, the SF-36 has been continuously developed and is frequently used to monitor the effect of therapy or disease progression.1720 Because of the lack of organ-specific questionnaires to quantify HRQoL after esthetic or reconstructive breast surgery, the BREAST-Q was developed by the Memorial Sloan-Kettering Cancer Center and the University of British Columbia.2124. 49. 2017;5(1):e1217. When it comes to finding a reliable plumber in Springfield, TN, then hiring our company is the right choice for you. Keeney MG, Couch FJ, Visscher DW, Lindor NM. Register, redeem, or learn more about Hair Assurance. The opinions expressed in all articles published here are those of the specific author(s), and do not necessarily reflect the views of Dove Medical Press Ltd or any of its employees. JAMA Oncol. Associations & Partners Immediate implant-based prepectoral breast reconstruction using a vertical incision. Several features of Make Every Body Care Moment Count With Dove Hand & Body Lotion Body Love Collection. This site uses cookies to provide you with a great user experience. For BR, wise pattern mastopexy was performed in all patients. Management of hereditary breast cancer: American Society of Clinical Oncology, American Society for Radiation Oncology, and Society of Surgical Oncology Guideline. 2017;140(5):869877. Patients preferences for surgical and adjuvant systemic treatment in early breast cancer: a systematic review. P values <0.05 were considered statistically significant. We offer real benefits to our authors, including fast-track processing of papers. Indonesian J Cancer. Thus, creating a sensitivity mapping of the breast was achieved. Dikmans REG, Negenborn VL, Bouman M-B, et al. Lostumbo L, Carbine NE, Wallace J. Prophylactic mastectomy for the prevention of breast cancer. 28. 18. 2017;49:363370. The BREAST-Q questionnaire is a validated tool for evaluating PROs in patients undergoing BRS following mastectomy. Satisfaction with cosmetic outcomes of breast reconstruction: investigations into the correlation between the patients Breast-Q outcome and the judgment of panels. J Clin Oncol. Aesth Plast Surg. 2014;72:S615. Decision-making in the surgical treatment of breast cancer: factors influencing womens choices for mastectomy and breast conserving surgery. Although bilateral mastectomy may have an immense effect on the psychological, physical, and social aspects, immediate BR preserves the outer appearance and improves self-esteem.Keywords: risk-reducing mastectomy, implant-based reconstruction, BRCA1, BRCA2, skin-sparing mastectomy, nipple-sparring mastectomy, Breast cancer is the most common cause of cancer-related death among North American and Western European women.1 A family predisposition exists in more than 25% of cases.2,3 Women carrying a pathogenic mutation in the breast cancer gene 1 or 2 (BRCA), as well as those with other genetic susceptibilities or underlying hereditary diseases, are at increased risk of developing breast cancer.4,5, Reports suggest that bilateral risk-reducing mastectomy (BRRM) reduces the risk of breast cancer by up to 95% in women with the BRCA gene mutation and up to 90% in women with strong family predisposition.69 Skin-sparing mastectomy (SSM) or nipple-sparing mastectomy (NSM) is oncologically safe and associated with improved esthetic outcomes.10 Studies based on recurrence and survival rates after NSM and SSM have reported equal oncological safety.1113 In contrast, bilateral mastectomies are irreversible, highly intrusive, and may be associated with severe complications.14, Anxiety about developing breast cancer has supported a greater demand for mutation testing and BRRM.5 Positive media coverage of celebrities undergoing risk-reducing mastectomy with immediate breast reconstruction (BR) has further promoted this therapeutic option. 2019;321:27. doi:10.1001/jama.2018.18942, 36. Eur J Surg Oncol. BRCA1, BRCA2, and partner and localizer of BRCA2 (PALB2) gene mutations were found in 19, 13, and one patient, respectively. 2004;101(3):450465. Fuzesi S, Cano SJ, Klassen AF, Atisha D, Pusic AL. *You're signing up to receive QVC promotional email. Munn Z, Moola S, Lisy K, Riitano D, Tufanaru C. Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data. Maruccia M, Mazzocchi M, Dessy LA, Onesti MG. One-stage breast reconstruction techniques in elderly patients to preserve quality of life. After a screening of titles and abstracts, full-text reports were assessed for eligibility. 2013;22(2):295308. Patient satisfaction with nipple-sparing mastectomy: a prospective study of patient reported outcomes using the BREAST-Q. 2016;76(2):155163. In all domains, autologous BRS had higher post-operative scores compared to implant-based. However, a bilateral mastectomy is a stressful experience for a woman which can have immense effects on psychological, physical, and social well-being. Why he smiles and walks away. 2021;13(15):741750. In 2020 alone 2.3 million women were diagnosed with breast cancer worldwide, and 7.8 million women are currently living with it. 2015;6(4):356362. 2019;144(3):539546. 95. Plast Reconstr Surg. Intraoperatively, clinical examination of the mastectomy flaps was performed to evaluate viability. Pure hemi-periareolar incision versus conventional lateral radial incision mastectomy and direct-to-implant breast reconstructions: comparison of indocyanine green angiographic perfusion and necrosis of the nipple . Full texts of potentially relevant papers were further screened using the eligibility criteria. Download the 2023 Super Bowl TV Ad Report from iSpot Today. To what extent has BREAST-Q evaluated PROM amongst patients who have undergone BRS? Dr Susanne Briest reports honoraria for presentations or participation and aboard or support for travelling to conferences from Pfizer, Genomic Health, Eisai, Lilly, Daiichi Sankyo, Amgen, Pierre Fabre, Roche, AstraZeneca, Janssen, Novartis, and Teva, outside the submitted work. Drains remained for at least 24 h and were removed when secretion was less than 3040 cc/day. 2014;72:S48S52. New Dove Body Lotion Collection Combine Care For Your Skin With Self-Care For You. Casella D, Di Taranto G, Onesti MG, Greco M, Ribuffo D. A retrospective comparative analysis of risk factors and outcomes in direct-to-implant and two-stages pre-pectoral breast reconstruction: BMI and radiotherapy as new selection criteria of patients. At follow-up, 21 patients showed no impairment of shoulder range of motion. Tan ML, Idris DB, Teo LW, et al. This study was supported by the German Research Foundation and Leipzig University within the Open Access Publishing program. Increasing mastectomy rates among all age groups for early stage breast cancer: a 10-year study of surgical choice. Plast Reconstr Surg Glob Open. Debate relating to the recovery of sensation in post-mastectomy skin after flap reconstruction dates back to the 1990s and stems from the argument that the skin recovers sensation regardless of flap neurotization (16,17).In 1999, Blondeel et al. By accessing the work you hereby accept the Terms. Turn on desktop notifications for breaking stories about interest? Although this result was disappointing, it is consistent with the current literature.57,58, Despite appealing esthetic results, animation deformity, muscle spasm, and postoperative pain remain potential consequences of subpectoral placement that can significantly affect the quality of life.59,60 Furthermore, the implant in the subpectoral plane may only be partially covered. I applaud the woman for having the guts to shoot that commercial. Subscribe to get tips and advice tailored to your needs. Plast Reconstr Surg. Sexual well-being had the lowest average scores in all the studies, ranging from 37.8 to 80.0 on pre-operative assessment and 39.078.0 on post-operative assessment. Generally, BRS using either autologous or implant-based methods resulted in greater satisfaction and HRQoL. 2020;46:10341040. I will send a letter of encouragement. J Plast Surg. 59. J Cancer Epidemiol. The filament had a thickness of 2.83 mm and the crossing points had a distance of 1 cm to each other. washburn jazz electric guitar; starlie smith baby daddy Protocol: protocol for a mixed-method study to inform the feasibility of undertaking a large-scale multicentre study comparing the clinical and patient-reported outcomes of oncoplastic breast conservation as an alternative to mastectomy with or without immediate breast reconstruction in women unsuitable for standard breast-conserving surgery (the ANTHEM Feasibility Study). 36. 2017;24:25022508. Surgery. Stretch marks, scars and tattoos on our skin all share a different story unique to each person. Our professional plumbing services include drain, sewer, and septic tank cleaning, tankless and gas/electric water heaters installation, remodeling, and much more. 2020:JCO2000299. 1. doi:10.1093/annonc/mdr373, 6. Int J Surg Oncol. Lastly, there was diversity amongst the geographic origin of included studies which may have introduced sociocultural factors. You can learn about our use of cookies by reading our Privacy Policy. Volume 2021:15 Pages 741750, Editor who approved publication: This analysis reviewed 35 patients who underwent SSM or NSM between May 2012 and December 2017 at the University Hospital of Leipzig. 34. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms. 2010;116(24):55845591. 46. Although high postoperative HRQoL after simultaneous BR following BRRM has been reported, data comparing pre- and postoperative results of HRQoL tests are lacking. doi:10.1093/jnci/djq438, 51. Cohen WA, Mundy LR, Ballard TN, et al. doi:10.1159/000496696, 63. Barone M, Cogliandro A, Signoretti M, Persichetti P. Analysis of symmetry stability following implant-based breast reconstruction and contralateral management in 582 patients with long-term outcomes. Preoperative questionnaires were completed within the week before the operation by the patients themselves. The other authors declare that they have no conflicts of interest in this work. Her doctor did a great job of keeping her scars to just a line on each side. Spector DJ, Mayer DK, Knafl K, Pusic A. Womens recovery experiences after breast cancer reconstruction surgery. This website is not directed to consumers outside of the U.S. Conversely, the exclusion criteria were as follows: patients with current cancer and/or on cancer therapy, patients who needed translation assistance for verbal consent and age <18 years. 82. PROMs in post-mastectomy care: patient self-reports (BREAST-QTM) as a powerful instrument to personalize medical services. Pirro O, Mestak O, Vindigni V, et al. In: Cochrane Handbook for Systematic Reviews of Interventions [Internet]. Plast Reconstr Surg. 2019;14:382387. I DO NOT WANT TO SEE THAT !!! 2015;6(4):173. Chen CM, Cano SJ, Klassen AF, et al. Oncologic safety of prophylactic nipple-sparing mastectomy in a population with BRCA mutations: a multi-institutional study. 2015;22:33243330. After resection of the gland, we measured and weighed the tissue and selected an appropriate implant, which was placed in the pre-pectoral plane. Web Design by Adhesion. 2011;29(6):664676. Best Pract Res Clin Obstet Gynaecol. 2021;74(1):4147. Carbine NE, Lostumbo L, Wallace J, Ko H. Risk-reducing mastectomy for the prevention of primary breast cancer. open access to scientific and medical research. 2012;132:11771184. Dove Self-Esteem Project At Dove, we have a vision of a world where beauty is a source of confidence, not anxiety. 71. doi:10.3978/j.issn.2227-684X.2015.04.21, 15. Breast Cancer Res Treat. 2012;118(6):17011709. When I was younger, I thought I'd never let a doctor do that to me. The items were assessed as low risk, high risk, or some concerns. 2003;56:462470. If you are looking for a reliable and experienced plumbing contractor in Springfield, TN, feel free to contact our company today for a professional service that will exceed your expectations. Average psychosocial well-being scores ranged from 54.3 to 77.9 on pre-operative assessment and 63.094.0 on post-operative assessment. Thorat MA, Balasubramanian R. Breast cancer prevention in high-risk women. Find out how spending an hour with a young person can boost her self-esteem for a lifetime. Breast. 79. Retention of the NAC as performed in NSM further provides the patient with a sense of wholeness and greatly impacts the decision-making process of patients considering BRRM.43 In 2017, Bailey et al showed that patients who underwent NSM had a better HRQoL than patients who underwent SSM.44 Furthermore, NAC preservation has been shown to improve body image due to a closer similarity with the patients original breast and a more positive psychological aspect.39,4547 Another advantage is that in the case of a larger or ptotic breast, reshaping of the breast envelope can be performed, thereby improving form and appearance of the breast,48 and a previously failed symmetry or adjustment of ptotic or larger breasts can be corrected. 2018;19(9):12051214. Bailey CR, Ogbuagu O, Baltodano PA, et al. 2019;45(8):13571363. J Plast Reconstr Aesthet Surg. Patient-reported aesthetic satisfaction with breast reconstruction during the long-term survivorship period. this site will not function whilst javascript is disabled. Indian J Surg Oncol. Studies with pain rating scales. Ong WL, Schouwenburg MG, van Bommel ACM, et al. 57. Call Us for Professional Plumbing Services! Ou Z, Tang Y, Fu J, Doucette J, Murimi IB. 2021 The Author(s). Long-term patient-reported outcomes in postmastectomy breast reconstruction. Ann Surg Oncol. doi:10.1245/s10434-015-4532-1, 35. Anaesthesia. Am J Clin Oncol. In the past 30 days, Dove has had 2,227 airings and earned an airing rank of #490 with a spend ranking of #300 as compared to all other advertisers. Maruccia M, Elia R, Gurrado A, et al. I've seen way worse! Hu ES, Pusic AL, Waljee JF, et al. It doesn't bother me. doi:10.1200/JCO.2004.04.188, 9. Plast Reconstr Surg Glob Open. Alderman AK, Wilkins EG, Lowery JC, Kim M, Davis JA. Albornoz CR, Matros E, McCarthy CM, et al. Wow! Get sneak previews of special offers & upcoming events delivered to your inbox. BREAST-Q has a higher and narrow internal consistency of 0.81 to 0.96 compared with other patient-reported outcome measures (PROMs; EORTC-QLQ, FACT-B, BR-23, BCTOS). 2016;4:2050312116671725. doi:10.1177/2050312116671725. 2013;132:201e209e. Psychooncology. While several studies have used the BREAST-Q to assess the outcomes of patients undergoing breast surgeries for breast cancer, only one comprehensive systematic review exists on PROMs assessed by BREAST-Q which is now outdated and had heterogeneous results.19 Hence, our review aims to update and synthesize new evidence on BREAST-Qs ability to reflect PROs in women who have undergone BRS following mastectomy. Her doctor did a great job of keeping her scars to just a line on each side. 2016;114(4):416422. Introduction. fatal accident in apple valley, ca; covid test pitt county; kevin samuels zodiac sign; band music publishers; pennsauken police department ori number; 85. Both found that silicone implants showed better PROs compared to saline implants.44,49 Sorkin et al found no difference between the use of ADM and non-ADM tissue expanders the PROs of patients.42, Negenborn et al and Qureshi et al found no significant differences in all BREAST-Q domains between patients who underwent one-stage BRS and those who underwent two-stages implant BRS using tissue expanders.25,50 Another study found no significant difference in the PROs of patients in both direct-to-implant (DTI) group and tissue expander groups, except in sexual wellbeing, where the DTI group fared better.27. 2013;22:158161. Turner-Bowker DM, Saris-Baglama RN, DeRosa MA, Giovannetti ER, Jensen RE, Wu AW. 2018;8:95101. Also, thank you for fixing the pipe leakages in my bathroom. Furthermore, the references of selected articles were manually searched for relevant articles. Figure 3 Risk of bias assessment for included RCTs. Validation of the electronic version of the BREAST-Q in the army of women study. Rindom MB, Gunnarsson GL, Lautrup MD, et al. 92. Pusic AL, Chen CM, Cano S, et al. Register your specific details and specific drugs of interest and we will match the information you provide to articles from our extensive database and email PDF copies to you promptly. Report Inappropriate Content Message 1 of 118 (19,469 Views) Reply 39 Kachina624 Honored Contributor Posts: 61,457 Pusic AL, Klassen AF, Scott AM, Klok JA, Cordeiro PG, Cano SJ. 39. Anagnostopoulos F, Myrgianni S. Body image of Greek breast cancer patients treated with mastectomy or breast conserving surgery. Breast cancer is the most prevalent type of cancer globally. These results are largely consistent with the current literature.52,53 However, in our patients, a significantly higher score in the pain domain was recorded. 38. Its time to fight the toxic beauty standards fuelling appearance hate and discrimination. 2021;29(12):645102. The average body mass index (BMI) was 27 (range: 1852) kg/m2, and 11 patients had a history of constant nicotine abuse. Indian J Surg. Studies not published in English language: Reviews, pre-prints, case reports, conference proceedings, conference abstracts, and letters or editorial opinions. Clinical, histological, and ultrasound follow-up of breast reconstruction with one-stage muscle-sparing wrap technique: a single-center experience. By using iSpot.tv, you accept our, Health & Beauty: Deodorants & Antiperspirants. By using iSpot.tv, you accept our. Find out about the CROWN Act and how Dove is working to eradicate racial discrimination. Why dont the Electoral College and popular vote always match up? 37. 47. Handbook of Well-Being. Arroyo JMG, Lpez MLD. 80. Laterality and patient-reported outcomes following autologous breast reconstruction with free abdominal tissue: an 8-year examination of BREAST-Q data. 7. Studies that did not use BREAST-Q questionnaire as a PROM, or did not fully report BREAST-Q satisfaction or health-related quality of life outcomes. Martinez-Lpez JC, Garca-Espinoza JA, Flores-Soto D, et al. 1999;340:7784. Furthermore, an improvement in breast satisfaction was observed in our study. McCarthy CM, Klassen AF, Cano SJ, et al. The mean weight of the gland averaged 340180 g (range: 80820 g), whereas the mean implant size averaged 32065 cc (range: 85490 cc). 2017;3(5):677685. The methodological quality of each study will be assessed using the Cochrane Systematic Review RCT risk of bias assessment tool 2 (RoB 2) for RCTs,22,23 and Joanna Briggs Institute (JBI) Critical Appraisal Checklist for observational studies.24 The RoB 2 tool addresses the following biases: random sequence generation, bias due to deviations from intended interventions, bias due to incomplete outcome data, bias in measurement of the outcome, and selective reporting. J Plast Reconstr Aesthet Surg. this site will not function whilst javascript is disabled. Number 3099067. 2021;74(8):17521757. These were done by two independent reviewers (IS and GB), and any disparity in either selecting eligible articles or assessing findings between the two reviewers was resolved through consultation with a third reviewer (NS). Have questions about this ad or our catalog? Although we expected a lack of touch sensitivity during follow-up, impaired wound healing and pathological capsular contractions were unexpected. 2015;75(7):692701. Cutress RI. Ludolph I, Horch RE, Harlander M, et al. Ann Rheum Dis. Hermel DJ, Wood ME, Chun J, et al. Measuring quality of life in cosmetic and reconstructive breast surgery: a systematic review of patient-reported outcomes instruments. HRQoL analyses have revealed significantly higher satisfaction with breasts and physical well-being using this technique.22,6971 However, feeling of well-being decreases drastically after autologous BR due to abdominal donor-site morbidity.69 Reconstruction is a complex procedure requiring excellent microsurgical expertise, and it is accompanied by a longer intraoperative time of up to 810 hours in bilateral reconstruction, a longer postoperative recovery period, and possible donor-site complications.71. Razzano S, Marongiu F, Wade R, Figus A. Optimizing DIEP flap Insetting for immediate unilateral breast reconstruction: a prospective cohort study of patient-reported aesthetic outcomes. All statistical analyses were conducted using SPSS Statistics, version 25.0 (IBM Corp., Armonk, NY, USA). Other PROMs used in assessing HRQoL in breast cancer patients are equally reliable but have wide reported range. Table 1 Characteristics of Included Studies. doi:10.1097/01.prs.0000278162.82906.81, 22. J Surg Oncol. Koan S, Grsoy A. The results were then assigned to three grades dependent depending on the lack of sensitivity; Grades I, II, and III were defined as a loss of sensitivity of <30%, 3060%, and >60%, respectively. A final question on whether to include, exclude, or seek further information on the study gives the overall judgement of the reviewer on that study. 2013;20(11):34223429. Women are BEAUTIFUL with or without breasts! 2010;125:15851595. Dean NR, Crittenden T. A five-year experience of measuring clinical effectiveness in a breast reconstruction service using the BREAST-Q patient reported outcomes measure: a cohort study. 2017;140(6):10911100. Implant-based breast reconstruction with autologous lower dermal sling and radiation therapy outcomes. Colizzi L, Lazzeri D, Agostini T, et al. 2019;143(2):261e70e. Reports suggest that bilateral risk-reducing mastectomy (BRRM) reduces the risk of breast cancer by up to 95% in women with the BRCA gene mutation and up to 90% in women with strong family predisposition. 62. Most studies were conducted in the United States (13), with other countries being Italy (7), United States and Canada (4), Canada only (3), Netherlands (4), Germany (3), Mexico (1), Portugal (1), India (1), Australia (1), Denmark (1), United Kingdom (1) and Czech Republic (1). 2016;29(6):74. 2000;9(2):177184. Thirteen studies assessed satisfaction with information, surgeon, medical team, and administrative staff domains, respectively. Wellisch DK, Schain WS, Noone RB, Little JW 3rd. doi:10.1097/00006534-198711000-00007, 44. doi:10.1080/09540121.2012.656573, 20. Plast Reconstr Surg. QVC is not responsible for the availability, content, security, policies, or practices of the above referenced third-party linked sites nor liable for statements, claims, opinions, or representations contained therein. The science behind quality-of-life measurement: a primer for plastic surgeons. I just saw the Dove commercial with the Mastectomy patient. Asia Pac J Oncol Nurs. 31. Patient motivations for choosing postmastectomy breast reconstruction. 2015;33(15_suppl):e17753e17753. 6. Howes BH, Watson DI, Xu C, Fosh B, Canepa M, Dean NR. N Engl J Med. Several features of Higher reconstruction failure and less patient-reported satisfaction after post mastectomy radiotherapy with immediate implant-based breast reconstruction compared to immediate autologous breast reconstruction. I said to him, I thought the woman felt free of having those things hanging on her chest for no reason anymore. Eur J Surg Oncol. Table 3 Comparison of BREAST-Q Questionnaire with Other Patient-Reported Outcome Questionnaires. | QVC, Q and the Q logo are registered service marks of ER Marks, Inc. 888-345-5788. Plast Reconstr Surg. Hahn EA, Segawa E, Kaiser K, Cella D, Smith BD. Breast J. Stretch marks, scars and tattoos on our skin all share a different story unique to each person. Inframammary fold incision 3 2. doi:10.1002/pon.4397, 41. Ann Chir Plast Estht Elsevier. 2004;22:10551062. Beral V, Million Women Study Collaborators. Dove Medical Press is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC doi:10.1097/PRS.0b013e3181cb6351, 71. 2013;70(5):574580. Long-term psychosocial functioning in women with bilateral prophylactic mastectomy: does preservation of the nipple-areolar complex make a difference? Jakub JW, Peled AW, Gray RJ, et al. doi:10.1097/PRS.0000000000002950, 65. After considering the risk and benefit of both procedures, the operative strategy was determined by the patient. Testimonials No restrictions were placed on age, type, and stage of breast cancer; Studies reporting outcomes of any type of BRS following mastectomy; Studies reporting outcomes using BREAST-Q. 2017;18(2):251258. Vertical incision 5-7 4. 2001;91(12):22822287. doi:10.1097/SAP.0000000000000020. Quality of Life and early functional evaluation in direct-to-implant breast reconstruction after mastectomy: a comparative study between prepectoral versus dual-plane reconstruction. Learn more about Dove campaigns here and watch your favorite videos from Real Beauty Sketches to Choose Beautiful. Skin-sparing mastectomy. J Plast Reconstr Aesthet Surg. [cited September 5, 2021]: Available from: https://eprints.soton.ac.uk/345578/. 2017;70:15271536. PCN482 patient-reported outcome measures in breast cancer: a systematic review of EORTC QLQ-C30, FACT-B, and EORTC QLQ-BR23 development and validation. Hays RD, Sherbourne CD, Mazel RM. In 2020 alone 2.3 million women were diagnosed with breast cancer worldwide, and 7.8 million women are currently living with it.1 Over 30% of these women undergo a single mastectomy,2,3 or prophylactic double mastectomy.4 For many, the loss of one or both breasts is devastating, and breast reconstruction surgery (BRS) can improve outcomes for these patients.5,6 Over 40% of women who undergo mastectomy opt for a BRS.7, Surgical management strategies for breast cancer may involve mastectomy, breast conservative surgery, BRS, and other reconstructive methods.810 Age, body habitus, comorbidities, previous surgeries, and other neo-adjuvant treatment influence the surgical method of choice.11,12 Many of the women opting for BRS are often eligible for more than one type of breast reconstruction, therefore the timing of reconstruction, use of autologous tissue versus implants, short-versus long-term outcomes, and financial implications are all factors a patient may contemplate.9, Patient-reported outcomes (PROs) have become increasingly important in health care and assess the perception of health, quality of life (QoL), and functional status after treatment.13 In cosmetic/reconstructive surgery, this is particularly important as the aim of the intervention is often to improve appearance, function, mental health, and QoL.13 These tools can also help patients become informed, form realistic expectations, communicate with the surgical team, and gain greater satisfaction from the decision-making process.14,15, Patient-reported outcome measures (PROMs) are tools used to quantify PROs, often in the form of self-completed questionnaires.16 The BREAST-Q is a PROM used to assess the unique outcomes of breast surgery patients.17 Developed in 2009, BREAST-Q is made up of three procedure-specific modules: augmentation, reduction, and reconstruction.18 The questionnaire examines outcomes commonly reported as important to women who have undergone a reconstructive procedure for breast cancer as well as health-related quality of life (HRQoL), psychosocial, physical, and sexual well-being, and satisfaction scales.17 Since its development, BREAST-Q has been an effective measure for a spectrum of breast cancer surgeries.19,20. Heres everything you need to know about toxic beauty standards online. The SF-36 results of our sample differed only slightly from that of the general female population. All authors made a significant contribution to the work reported, whether that is in the conception, study design, execution, acquisition of data, analysis and interpretation, or in all these areas; took part in drafting, revising, or critically reviewing the article; gave final approval of the version to be published; have agreed on the journal to which the article has been submitted; and agree to be accountable for all aspects of the work. J Plast Reconstr Aesthet Surg. The JBI is a reliable and valid tool used to assess the methodological quality of observational cross-sectional studies. 2009;124(2):345353. J Biosci Med. Instead, coverage of the lower implant pole was performed using the raised deepithelialized semilunar flap. Therefore, we investigated the quality of life, esthetic outcome, and patient well-being after BRRM and simultaneous implant-based BR.Patients and Methods: Of the 35 patients who underwent skin-sparing or nipple-sparing mastectomy between May 2012 and December 2017 at a university hospital, only 22 completed the evaluation.
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