Therapeutic breast reduction—are doctors and patients satisfied?
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Therapeutic breast reduction (TBR) is an oncoplastic technique that applies breast reduction principles for oncologic purposes. Given that TBR indications have expanded, the purpose of this study is to ascertain the aesthetic outcome of this procedure, and determine how it may be influenced by different surgical techniques and postoperative radiotherapy.
A non-randomized cohort study was performed, including breast cancer female patients who underwent breast conserving surgery with TBR. The primary outcome was the esthetic result of the reconstruction, evaluated by both plastic surgeons and patients, at least 12 months after surgery.
The aesthetic assessment was made in 42 patients. Overall, the clear majority of patients classified the outcome as good or perfect (95.2%), with less than 5% considering the outcome as mediocre. As for plastic surgeons, 83.3% were considered perfect/good outcomes, with 16.7% mediocre results. There were no poor results, neither for the patient nor the surgeon. There were no statistically significant associations between the esthetic result and tumor location nor its relation to the skin-resection pattern.
Aesthetic outcomes with this technique are promising, even when there is the need for technical modifications and despite the need for adjuvant radiotherapy, making it valuable for tumors in all locations.
Level of Evidence: Level III, risk / prognostic study.
KeywordsBreast Therapeutic breast reduction Oncoplastic surgery Esthetic outcome
Compliance with ethical standards
The authors have no financial interest to declare in relation to the content of this article. No funding was received for this article.
Conflict of interest
Carolina Andresen, Augusta Cardoso, Cristina Cunha, João Morais, Gustavo Coelho, Maria da Luz Barroso, João Guimarães, and Horácio Costa declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained for all patients who were questioned and photographed in the outpatient consult. For the remaining patients, for this type of study formal consent is not required.
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