Immediate prepectoral implant reconstruction using TiLOOP Bra Pocket results in improved patient satisfaction over dual plane reconstruction

2021 ◽  
Vol 91 (4) ◽  
pp. 701-707
Author(s):  
E‐Ern Ian Ng ◽  
Gaik Si Quah ◽  
Susannah Graham ◽  
Kavitha Kanesalingam ◽  
Farid Meybodi ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Dual Plane ◽  
Implant Reconstruction ◽  
Tiloop Bra

scholarly journals Novel Pre-Mastectomy Permanent Implant Reconstruction

2021 ◽  
Vol 6 (2) ◽  
Keyword(s):  
Patient Satisfaction ◽  
Breast Reconstruction ◽  
Short Form ◽  
Tissue Expander ◽  
Silicone Implants ◽  
Life Questionnaire ◽  
Dermal Substitute ◽  
Breast Cancer Patients ◽  
Permanent Implant ◽  
Implant Reconstruction

Background: Breast reconstruction has been shown to have significant psychosocial benefits for breast cancer patients. Multiple techniques have been used to improve patient satisfaction, aesthetic outcomes, and decrease complications. However, while these techniques are advantageous, they have some significant disadvantages. We are presenting a novel two-stage, pre-mastectomy permanent implant reconstruction (PPIR) technique in an attempt to overcome some of these disadvantages. Methods: Five patients met the essential criteria: they underwent PPIR by insertion of silicone implants three weeks before a proposed mastectomy. The Short Form-36 quality of life questionnaire and the Michigan Breast Reconstruction Outcomes Survey were used before and after the surgery to assess outcome and patient satisfaction. Paired sample t-tests were used to compare changes in the survey scores for various psychosocial subscales and to determine whether score changes after reconstruction were significant. Result: Five patients underwent seven breast reconstructions using PPIR. None of the patients experienced surgical complications (e.g. mastectomy flap complication, wound dehiscence, surgical site infection, or implant-related complications). The PPIR technique resulted in improved psychosocial outcomes and body image with high patient satisfaction. Conclusion: Pre-mastectomy permanent implant reconstruction is a promising potential technique with good aesthetic outcome and patient satisfaction that carries no tissue expander complications and eliminates multiple clinic visits and the usage of a dermal substitute.

Assessing the Influence of Failed Implant Reconstruction on Patient Satisfaction and Decision Regret after Salvage Free-Flap Breast Reconstruction

2021 ◽  
Author(s):  
Ronnie L. Shammas ◽  
Amanda R. Sergesketter ◽  
Mahsa Taskindoust ◽  
Sonali Biswas ◽  
Scott T. Hollenbeck ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Breast Reconstruction ◽  
Free Flap ◽  
Well Being ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Decision Regret ◽  
History Of ◽  
Implant Reconstruction

Abstract Background Free-flap breast reconstruction after failed implant reconstruction is associated with improved patient outcomes. How the level of satisfaction achieved compares between patients with and without previously failed implant reconstruction remains unknown. The aim of this study was to assess the influence of prior failed implant-based reconstruction on long-term patient-reported outcomes after free-flap breast reconstruction. Methods All patients undergoing free-flap breast reconstruction between 2015 and 2019 were identified. Patient satisfaction using the BREAST-Q and decisional regret using the Decision Regret Scale were compared between patients with and without a history of implant breast reconstruction. Results Overall, 207 patients were contacted and 131 completed the BREAST-Q and Decision Regret Scale. A total of 23 patients had a history of failed implant-based reconstruction requiring free-flap-flap salvage, most commonly due to infection (39.1%), chronic pain (34.8%), capsular contracture (26%), and implant malposition (26.1%). Following definitive free-flap reconstruction, patients with prior failed implant reconstruction had significantly lower BREAST-Q scores for satisfaction with breast (61.2 ± 16.7 vs. 70.4 ± 18.7; p = 0.04) and sexual well-being (38.5 ± 18.2 vs. 52.8 ± 24.7; p = 0.01) and reported higher decision regret (19.1 ± 18.6 vs. 9.6 ± 15.6, respectively). There were no significant differences for psychosocial well-being (p = 0.67), physical well-being (chest; p = 0.27), and physical well-being (abdomen; p = 0.91). Conclusion A history of failed implant-based reconstruction is associated with reduced satisfaction and increased decision regret with the final reconstructive outcome. This data underscores the importance of appropriate patient selection at the initial consultation, and informed preoperative counseling regarding long-term outcomes in patients presenting for free-flap reconstruction after a failed implant-based reconstruction.

How to do an immediate prepectoral implant reconstruction with the TiLoop bra pocket

2019 ◽  
Vol 90 (3) ◽  
pp. 360-361
Author(s):  
Ian E‐Ern Ng ◽  
Elisabeth Elder ◽  
James French
Keyword(s):  
Implant Reconstruction ◽  
Tiloop Bra

P043. Skin sparing mastectomy with immediate dermal sling implant reconstruction: an assessment of outcomes and patient satisfaction

2019 ◽  
Vol 45 (5) ◽  
pp. 897
Author(s):  
Frederick Hartley ◽  
Samantha Muktar ◽  
Wail Al-Sarakbi ◽  
Sarah Madigan ◽  
Sarah Horn
Keyword(s):  
Patient Satisfaction ◽  
Implant Reconstruction ◽  
Dermal Sling

151 Complications and patient satisfaction following breast implant reconstruction with and without radiotherapy

1999 ◽  
Vol 45 (3) ◽  
pp. 225-226 ◽  
Author(s):  
E.A. Krueger ◽  
E.G. Wilkins ◽  
M. Strawderman ◽  
P. Cederna ◽  
S. Goldfarb ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Breast Implant ◽  
Implant Reconstruction

scholarly journals Patient Satisfaction and Body Image Following Mastectomy, Breast-Conserving Therapy, and Mastectomy With Reconstruction: A Study in Iran

2018 ◽  
pp. 173-182 ◽  
Author(s):  
Asiie Olfatbakhsh ◽  
Shahpar Haghighat ◽  
Mohammadreza Tabari ◽  
Esmat Hashemi ◽  
Fateme Sari ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Body Image ◽  
Patient Satisfaction ◽  
Chronic Disease ◽  
Survival Rate ◽  
Breast Conserving Surgery ◽  
Breast Conserving Therapy ◽  
The Other ◽  
Mastectomy Group ◽  
Implant Reconstruction

Background: Breast cancer is considered a chronic disease owing to the increases in survival rate. Thus, better body image and patient satisfaction with the surgery have become more important factors to be considered when choosing the surgical approach. The aim of this study was to compare body image and patient satisfaction following three different approaches. Methods: We evaluated 183 consecutive patients who had undergone three different surgeries including breast-conserving surgery (BCS), mastectomy, or mastectomy followed by reconstruction (M-R). Body image was evaluated using the BICI questionnaire, and patient satisfaction was rated using a multiple-choice question and a scale ranging from 1 to 10. Results: A significantly better body image was observed in the M-R and BCS groups compared with mastectomy (P = 0.02). In body image subscale analysis, social functioning scores were higher in the M-R and BCS groups than in the mastectomy group (P = 0.01), but no differences were obtained between surgery groups in appearance dissatisfaction subscale. Patients were more satisfied with BCS than the other two surgeries (P = 0.008). Conclusion: Based on the results of this study, it could be proposed that both oncoplastic BCS and implant reconstruction could provide patients with acceptable body image, while BCS could bring about better satisfaction with the surgery. Reconstruction may be an alternative for the patients to improve body image and satisfaction when BCS is not applicable.

scholarly journals A modified technique for nipple-areola complex reconstruction

2011 ◽  
Vol 44 (01) ◽  
pp. 076-080
Author(s):  
Shoeib A. Mohamed ◽  
Peir Camillo Parodi
Keyword(s):  
Patient Satisfaction ◽  
Nipple Reconstruction ◽  
Modified Technique ◽  
Composite Grafts ◽  
Areola Complex ◽  
Classical Technique ◽  
Minimal Complication ◽  
Implant Reconstruction ◽  
Reconstructed Breast

ABSTRACT Background: From a historical perspective, many techniques of nipple reconstruction have been performed, including a graft from the contralateral nipple, composite grafts such as toe pulp or earlobe tissue and even an intra-dermal tattoo alone. This is the final stage of breast reconstruction, and is carried out only when the surgeon is confident that acceptable symmetry and shape of the reconstructed breast has been achieved. The technical challenges of nipple reconstruction include correcting position, maintaining adequate projection and creating an inconspicuous scar. An alternative to a surgically reconstructed nipple is the use of silicone prosthetic nipples. Materials and Methods: From August 2006 until September 2007, 80 cases of nipple/areola reconstruction were performed in our department (UDINE UNIV.) following mammary reconstruction or conservative breast surgery. Forty cases were carried out with the classical technique and another 40 cases with the introduction of our modification in the form of deepithelization of a semicircular area of the adjacent skin at the base of the flap. Postoperative follow-up as regards the nipple size, site, projection, symmetry and donnar scar were assessed. Patient satisfaction was also addressed and evaluated. Results: There were good to excellent results as regards nipple size, symmetry and projection. The technique is suitable for different autologous and implant reconstruction. The technique is an outpatient procedure, is easy and is not consuming time. Areolar graft from the contra-lateral areola is colouur matching and shows nearly no deference from the opposite one. Conclusions: Simple technique and not time consuming. Maintains the consistency and projection of the new nipple. Patient satisfaction. Minimal complication.

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