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Patient Self-Assessment of the Cosmetic Results of Breast Reconstruction

Andrade, William N. M.D., Ph.D.; Semple, John L. M.D., M.Sc.

Plastic and Reconstructive Surgery: January 2006 - Volume 117 - Issue 1 - p 44-47
doi: 10.1097/01.prs.0000186534.50094.ab
Breast: Special Topic

Background: In a previous study, the authors evaluated factors that contribute to patient satisfaction with breast reconstruction, using a comprehensive chart review and questionnaire. The results of part of this questionnaire, regarding patients' rating of the cosmetic result of their breast reconstruction, are presented in this article.

Methods: The questionnaire was mailed to 267 patients, 214 questionnaires (80.1 percent) were returned, and 200 contained a response to the question rating the overall cosmetic outcome of breast reconstruction (Fig. 1). To conduct a statistical analysis, the data were collapsed into two smaller groups. An “excellent” or “good” result was considered a “favorable” outcome, while lower responses were “unfavorable” outcomes.

Fig. 1.

Fig. 1.

Results: The outcome was rated as excellent by 82 patients, good by 76 patients, fair by 31 patients, and poor by 11 patients. A significant association was found between overall cosmesis and breast size, shape, or scars.

Conclusion: It should not be assumed that patients' responses regarding satisfaction with reconstruction will reflect their specific feelings regarding cosmetic results.

Toronto, Ontario, Canada

From the Division of Plastic Surgery, University of Toronto.

Received for publication September 3, 2004; revised November 10, 2004.

Presented at the Annual Meeting of the Canadian Society of Plastic Surgeons, in Whistler, British Columbia, Canada, June 25 to 28, 2003.

John L. Semple, M.D., Division of Plastic Surgery, Sunnybrook and Women's College Health Sciences Center, 2075 Bayview Avenue, Room M1-522, Toronto, Ontario, Canada M4N 3M5,

©2006American Society of Plastic Surgeons