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Implant-based reconstruction following mastectomy in patients who have had a previous breast augmentation : Lessons from the National Multicenter Implant Breast Reconstruction Evaluation Study
Baker, Benjamin G. Sewart, Emma Harvey, James Potter, Shelley Chambers, Suzanne*
Baker, Benjamin G.
Sewart, Emma
Harvey, James
Potter, Shelley
Chambers, Suzanne*
Abstract
Background:
Breast augmentation is the most commonly performed cosmetic procedure, and increasingly women in this group present with breast cancer or request risk-reducing surgery, but their optimal management is unclear. The authors explored the clinical and patient-reported outcomes of patients undergoing immediate implant-based breast reconstruction following previous augmentation and compared these with outcomes of patients who had not had cosmetic implants in the Implant Breast Reconstruction Evaluation (iBRA) Study.
Methods:
Patients undergoing immediate implant-based breast reconstruction were prospectively recruited from breast and plastic surgical units across the United Kingdom. Demographic, operative, and oncologic data, and information regarding complications within 3 postoperative months were collected. Patient-reported outcomes at 18 months were assessed using the BREAST-Q. The clinical and patient-reported outcomes of patients undergoing immediate implant-based breast reconstruction with and without previous breast augmentation were compared.
Results:
A total of 2108 women were included in the iBRA Study, of whom 49 had undergone a previous augmentation. Women in the augmentation group were younger (median age, 45 years versus 50 years; p = 0.01), had a lower body mass index (22.8 kg/m2 versus 24.9 kg/m2; p < 0.01), and had smaller tumors (15 mm versus 25 mm; p = 0.01) than patients without augmentation. No differences were seen in operative technique between the groups. Complications at 3 months were similar in both groups and there were no significant differences in patient-reported outcomes at 18 months.
Conclusions:
The clinical and patient-reported outcomes of patients undergoing immediate implant-based breast reconstruction following previous augmentation are consistent with those observed in the wider iBRA Study cohort, supporting the safety of this approach.
Keywords
Date
2022
Type
Journal article
Journal
Plastic and Reconstructive Surgery
Book
Volume
149
Issue
2
Page Range
324-337
Article Number
ACU Department
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
Published as green open access
License
File Access
Controlled
Open
Open
Notes
*Suzanne Chambers is a member of the The Implant Breast Reconstruction (iBra) Evaluation Study Steering Group and Breast Reconstruction Research Collaborative