O'Neill Elizabeth S, Toms John A, Hansdorfer Marek A, Kokosis George
From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Rush University Medical Center, Chicago, Ill.
Rush Medical College of Rush University, Chicago, Ill.
Plast Reconstr Surg Glob Open. 2024 Jul 3;12(7):e5947. doi: 10.1097/GOX.0000000000005947. eCollection 2024 Jul.
Mastectomy poses significant challenges to a woman's body image and psychological well-being, and breast reconstruction plays a pivotal role in postoperative quality of life. Following breast reconstruction, many patients choose to have subsequent aesthetic procedures. Data on the prevalence of such subsequent aesthetic interventions are lacking in the literature. The aim of this study was to analyze trends in aesthetic procedures in patients following mastectomy with and without breast reconstruction.
The PearlDiver database was queried within its capabilities for patients who underwent mastectomy with and without breast reconstruction, and a variety of aesthetic procedures after mastectomy. Aesthetic procedure rates were compared between cohorts.
We identified 365,525 mastectomy patients: 282,815 without reconstruction and 82,710 with reconstruction. In total, 609 patients with reconstruction and 329 without underwent subsequent aesthetic procedures. The rate of aesthetic procedures was higher in the reconstruction group (0.7%) compared with the nonreconstruction group (0.1%; < 0.001).
Patients who chose to have breast reconstruction after mastectomy underwent significantly more subsequent aesthetic procedures compared with those who chose mastectomy alone. Our findings provide insights on the prevalence of aesthetic procedures in postmastectomy patients, highlighting the potentially longitudinal nature of the reconstructive and aesthetic journey beyond the index oncologic procedure. Further research is needed to address motivations for such procedures as well as patient-reported outcomes and satisfaction.
乳房切除术对女性的身体形象和心理健康构成重大挑战，而乳房重建在术后生活质量中起着关键作用。乳房重建术后，许多患者会选择进行后续的美容手术。文献中缺乏关于此类后续美容干预发生率的数据。本研究的目的是分析乳房切除术后有或无乳房重建患者的美容手术趋势。
在PearlDiver数据库的功能范围内，查询接受乳房切除术（有或无乳房重建）以及乳房切除术后各种美容手术的患者。比较各队列之间的美容手术率。
我们确定了365,525例乳房切除术患者：282,815例未进行重建，82,710例进行了重建。总共有609例进行重建的患者和329例未进行重建的患者接受了后续美容手术。重建组的美容手术率（0.7%）高于未重建组（0.1%；P<0.001）。
与仅选择乳房切除术的患者相比，乳房切除术后选择进行乳房重建的患者接受的后续美容手术明显更多。我们的研究结果提供了关于乳房切除术后患者美容手术发生率的见解，突出了重建和美容过程潜在的长期性，超出了初始肿瘤手术的范畴。需要进一步研究此类手术的动机以及患者报告的结果和满意度。
