Body mass index and nipple preservation are major contributors to satisfaction and aesthetic outcome rates after implant-based immediate breast reconstruction

Stanislavs Ukleikins; Arvids Irmejs; Ansis Gilis; Elina Tauvena; Jelena Maksimenko; Genadijs Trofimovics; Janis Gardovskis

doi:10.5114/wo.2019.85881

eISSN: 1897-4309
ISSN: 1428-2526

Contemporary Oncology/Współczesna Onkologia

Current issue Archive Manuscripts accepted About the journal Supplements Addendum Special Issues Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Publication charge Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

2/2019
vol. 23

Send email

Copy url:

abstract:

Original paper

Body mass index and nipple preservation are major contributors to satisfaction and aesthetic outcome rates after implant-based immediate breast reconstruction

Stanislavs Ukleikins

¹

,

Arvids Irmejs

^{2, 3}

,

Ansis Gilis

²

,

Elina Tauvena

¹

,

Jelena Maksimenko

^{2, 3}

,

Genadijs Trofimovics

²

,

Janis Gardovskis

¹

Department of Surgery, Rīga Stradiņš University, Riga, Latvia
Breast Unit, Paul’s Stradiņš Clinical University Hospital, Riga, Latvia
Institute of Oncology, Riga Stradiņš University, Riga, Latvia

Contemp Oncol (Pozn) 2019; 23 (2): 96-99

DOI: https://doi.org/10.5114/wo.2019.85881

Online publish date: 2019/06/13

View full text Get citation

EndNote

Papers, Reference Manager, RefWorks, Zotero

AMA

Ukleikins S, Irmejs A, Gilis A, et al. Body mass index and nipple preservation are major contributors to satisfaction and aesthetic outcome rates after implant-based immediate breast reconstruction. Contemporary Oncology/Współczesna Onkologia. 2019;23(2):96-99. doi:10.5114/wo.2019.85881.

APA

Ukleikins, S., Irmejs, A., Gilis, A., Tauvena, E., Maksimenko, J.,  & Trofimovics, G. et al. (2019). Body mass index and nipple preservation are major contributors to satisfaction and aesthetic outcome rates after implant-based immediate breast reconstruction. Contemporary Oncology/Współczesna Onkologia, 23(2), 96-99. https://doi.org/10.5114/wo.2019.85881

Chicago

Ukleikins, Stanislavs, Arvids Irmejs, Ansis Gilis, Elina Tauvena, Jelena Maksimenko, Genadijs Trofimovics,  and Janis Gardovskis. 2019. "Body mass index and nipple preservation are major contributors to satisfaction and aesthetic outcome rates after implant-based immediate breast reconstruction". Contemporary Oncology/Współczesna Onkologia 23 (2): 96-99. doi:10.5114/wo.2019.85881.

Harvard

Ukleikins, S., Irmejs, A., Gilis, A., Tauvena, E., Maksimenko, J., Trofimovics, G.,  and Gardovskis, J. (2019). Body mass index and nipple preservation are major contributors to satisfaction and aesthetic outcome rates after implant-based immediate breast reconstruction. Contemporary Oncology/Współczesna Onkologia, 23(2), pp.96-99. https://doi.org/10.5114/wo.2019.85881

MLA

Ukleikins, Stanislavs et al. "Body mass index and nipple preservation are major contributors to satisfaction and aesthetic outcome rates after implant-based immediate breast reconstruction." Contemporary Oncology/Współczesna Onkologia, vol. 23, no. 2, 2019, pp. 96-99. doi:10.5114/wo.2019.85881.

Vancouver

Ukleikins S, Irmejs A, Gilis A, Tauvena E, Maksimenko J, Trofimovics G et al. Body mass index and nipple preservation are major contributors to satisfaction and aesthetic outcome rates after implant-based immediate breast reconstruction. Contemporary Oncology/Współczesna Onkologia. 2019;23(2):96-99. doi:10.5114/wo.2019.85881.

PlumX metrics:

Introduction
Immediate breast reconstructions (IBR) have become an integral part of modern breast cancer management. However, in a small breast unit the spectrum of methods used for IBR could be limited, which could result in poorer results in some cases. The aim of the study is to evaluate the patient satisfaction and aesthetic outcome results in a breast unit where only implant-based IBR were performed.

Material and methods
During 2009–2016, 64 cases of implant-based IBR were performed in the university hospital. 55 patients completed the questionnaire and 38 underwent evaluation by a plastic surgeon. 33 skin-sparing and 22 nipple-sparing mastectomies were included. The study included 30 two-stage expander/implant and 25 direct-toimplant IBR cases.

Results
Overall satisfaction was reported by 89% of respondents. 93% were satisfied with appearance in clothes and 82% with appearance in a bra. There was a significant difference with satisfaction in nude appearance between groups with a removed (3%) and a spared nipple (46%). The plastic surgeon evaluated overall outcome as satisfactory in 61% and poor in 39%. Spearman coefficient showed a moderate negative correlation between body mass index (BMI) and aesthetic outcome (p = 0.02), as well as BMI and volume differences between breasts (p = 0.03). Patients evaluated their breast symmetry as satisfactory in 55%, and the plastic surgeon concluded the same in 55% of 38 cases.

Conclusions
Most of the patients were satisfied with the aesthetic outcome of IBR. Nipple preservation considerably improved satisfaction rates. However, implant-based IBR revealed suboptimal cosmetic results in the subset of cases with increased BMI and other IBR methods should be considered in those cases.

keywords:

Body mass index and nipple preservation are major contributors to satisfaction and aesthetic outcome rates after implant-based immediate breast reconstruction

Stanislavs Ukleikins 1 , Arvids Irmejs 2, 3 , Ansis Gilis 2 , Elina Tauvena 1 , Jelena Maksimenko 2, 3 , Genadijs Trofimovics 2 , Janis Gardovskis 1

immediate breast reconstruction, immediate breast reconstruction, breast cancer

Stanislavs Ukleikins

¹

,

Arvids Irmejs

^{2, 3}

,

Ansis Gilis

²

,

Elina Tauvena

¹

,

Jelena Maksimenko

^{2, 3}

,

Genadijs Trofimovics

²

,

Janis Gardovskis

¹