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Analyzing mastectomy and reconstruction weight in immediate autologous breast reconstruction: A preliminary study

Background This study aims to explore the ideal breast size by assessing the relationship between mastectomy to free flap weight ratio and complications as well as patient‐reported outcomes in autologous breast reconstruction (ABR). Method A retrospective review of patients undergoing bilateral imme...

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Bibliographic Details
Published in:Journal of surgical oncology 2024-06, Vol.129 (8), p.1466-1474
Main Authors: Kim, Minji, Ali, Barkat, Graziano, Francis D., Colvin, Kate, Boe, Lillian A., Allen, Robert J., Nelson, Jonas A., Disa, Joseph
Format: Article
Language:English
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Summary:Background This study aims to explore the ideal breast size by assessing the relationship between mastectomy to free flap weight ratio and complications as well as patient‐reported outcomes in autologous breast reconstruction (ABR). Method A retrospective review of patients undergoing bilateral immediate ABR with mastectomy and flap weights available was completed. Patients were divided into three groups based on the ratio of mastectomy to flap weights. The patients were grouped as “maintained” if the flap weight was within 10% of the mastectomy weight. Patients with a weight difference greater than 10% were used to declare “downsized” or “upsized.” Outcomes included complications and four domains of the BREAST‐Q at 1‐year postoperatively. Results Three hundred and fifty‐nine patients were included in the analysis, of which 112 were downsized, 91 maintained, and 156 upsized, respectively. Presence of complications did not significantly differ among the groups. At 1‐year postoperatively, Sexual Well‐being significantly differed (p = 0.033). Between preoperative and 1 year, patients who upsized experienced an improvement in Satisfaction with Breasts by 16 points (p 
ISSN:0022-4790
1096-9098
1096-9098
DOI:10.1002/jso.27647