BREAST-Q Patient-reported Outcomes in Different Types of Breast Reconstruction after Fat Grafting

Background:. Breast reconstruction after mastectomy improves patient quality of life. Independently of the type of reconstruction, ancillary procedures are sometimes necessary to improve results. Fat grafting to the breast is a safe procedure with excellent results. We report patient-reported outcom...

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Main Authors: Meir Retchkiman, MD, Arij Elkhatib, MD, Johnny I. Efanov, MD, Alain Gagnon, MD, Joseph Bou-Merhi, MD, Michel Alain Danino, MD, PhD, Christina Bernier, MD
Format: Article
Language:English
Published: Wolters Kluwer 2023-02-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004814
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author Meir Retchkiman, MD
Arij Elkhatib, MD
Johnny I. Efanov, MD
Alain Gagnon, MD
Joseph Bou-Merhi, MD
Michel Alain Danino, MD, PhD
Christina Bernier, MD
author_facet Meir Retchkiman, MD
Arij Elkhatib, MD
Johnny I. Efanov, MD
Alain Gagnon, MD
Joseph Bou-Merhi, MD
Michel Alain Danino, MD, PhD
Christina Bernier, MD
author_sort Meir Retchkiman, MD
collection DOAJ
description Background:. Breast reconstruction after mastectomy improves patient quality of life. Independently of the type of reconstruction, ancillary procedures are sometimes necessary to improve results. Fat grafting to the breast is a safe procedure with excellent results. We report patient-reported outcomes using the BREAST-Q questionnaire after autologous fat grafting in different types of reconstructed breasts. Methods:. We performed a single-center, prospective, comparative study that compared patient-reported outcomes using the BREAST-Q in patients after different types of breast reconstruction (autologous, alloplastic, or after breast conserving) who subsequently had fat grafting. Results:. In total, 254 patients were eligible for the study, but only 54 (68 breasts) completed all the stages needed for inclusion. Patient demographic and breast characteristics are described. Median age was 52 years. The mean body mass index was 26.1 ± 3.9. The mean postoperative period at the administration of BREAST-Q questionnaires was 17.6 months. The mean preoperative BREAST-Q was 59.92 ± 17.37, and the mean postoperative score was 74.84 ± 12.48 (P < 0.0001). There was no significant difference when divided by the type of reconstruction. Conclusion:. Fat grafting is an ancillary procedure that improves the outcomes in breast reconstruction independently of the reconstruction type and heightens patient satisfaction, and it should be considered an integral part of any reconstruction algorithm.
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spelling doaj.art-6c34112546e9445684f956180b418bab2023-02-27T09:02:01ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-02-01112e481410.1097/GOX.0000000000004814202302000-00031BREAST-Q Patient-reported Outcomes in Different Types of Breast Reconstruction after Fat GraftingMeir Retchkiman, MD0Arij Elkhatib, MD1Johnny I. Efanov, MD2Alain Gagnon, MD3Joseph Bou-Merhi, MD4Michel Alain Danino, MD, PhD5Christina Bernier, MD6From the Division of Plastic and Reconstructive Surgery, Centre Hospitalier de l’Université de Montréal (CHUM), Montreal, QC, Canada.From the Division of Plastic and Reconstructive Surgery, Centre Hospitalier de l’Université de Montréal (CHUM), Montreal, QC, Canada.From the Division of Plastic and Reconstructive Surgery, Centre Hospitalier de l’Université de Montréal (CHUM), Montreal, QC, Canada.From the Division of Plastic and Reconstructive Surgery, Centre Hospitalier de l’Université de Montréal (CHUM), Montreal, QC, Canada.From the Division of Plastic and Reconstructive Surgery, Centre Hospitalier de l’Université de Montréal (CHUM), Montreal, QC, Canada.From the Division of Plastic and Reconstructive Surgery, Centre Hospitalier de l’Université de Montréal (CHUM), Montreal, QC, Canada.From the Division of Plastic and Reconstructive Surgery, Centre Hospitalier de l’Université de Montréal (CHUM), Montreal, QC, Canada.Background:. Breast reconstruction after mastectomy improves patient quality of life. Independently of the type of reconstruction, ancillary procedures are sometimes necessary to improve results. Fat grafting to the breast is a safe procedure with excellent results. We report patient-reported outcomes using the BREAST-Q questionnaire after autologous fat grafting in different types of reconstructed breasts. Methods:. We performed a single-center, prospective, comparative study that compared patient-reported outcomes using the BREAST-Q in patients after different types of breast reconstruction (autologous, alloplastic, or after breast conserving) who subsequently had fat grafting. Results:. In total, 254 patients were eligible for the study, but only 54 (68 breasts) completed all the stages needed for inclusion. Patient demographic and breast characteristics are described. Median age was 52 years. The mean body mass index was 26.1 ± 3.9. The mean postoperative period at the administration of BREAST-Q questionnaires was 17.6 months. The mean preoperative BREAST-Q was 59.92 ± 17.37, and the mean postoperative score was 74.84 ± 12.48 (P < 0.0001). There was no significant difference when divided by the type of reconstruction. Conclusion:. Fat grafting is an ancillary procedure that improves the outcomes in breast reconstruction independently of the reconstruction type and heightens patient satisfaction, and it should be considered an integral part of any reconstruction algorithm.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004814
spellingShingle Meir Retchkiman, MD
Arij Elkhatib, MD
Johnny I. Efanov, MD
Alain Gagnon, MD
Joseph Bou-Merhi, MD
Michel Alain Danino, MD, PhD
Christina Bernier, MD
BREAST-Q Patient-reported Outcomes in Different Types of Breast Reconstruction after Fat Grafting
Plastic and Reconstructive Surgery, Global Open
title BREAST-Q Patient-reported Outcomes in Different Types of Breast Reconstruction after Fat Grafting
title_full BREAST-Q Patient-reported Outcomes in Different Types of Breast Reconstruction after Fat Grafting
title_fullStr BREAST-Q Patient-reported Outcomes in Different Types of Breast Reconstruction after Fat Grafting
title_full_unstemmed BREAST-Q Patient-reported Outcomes in Different Types of Breast Reconstruction after Fat Grafting
title_short BREAST-Q Patient-reported Outcomes in Different Types of Breast Reconstruction after Fat Grafting
title_sort breast q patient reported outcomes in different types of breast reconstruction after fat grafting
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004814
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