Women are BEAUTIFUL with or without breasts! 2011;4(2011):e132461. Gttingen, Germany: Hogrefe Verlag GmbH & Co. KG; 2011. It's interesting how we change how we feel about things as we get older. Lipscomb J, Gotay CC, Snyder CF. Plast Reconstr Surg. doi:10.1007/s00266-018-1082-5, 50. Patient-reported outcomes of immediate implant-based breast reconstruction with and without biological or synthetic mesh. Long-term psychosocial functioning in women with bilateral prophylactic mastectomy: does preservation of the nipple-areolar complex make a difference? 77. 39. They no less human and these people are still normal. 2000;106:769776. Therefore, we recommend that in daily clinical practice, immediate reconstruction of the breasts should be performed as it preserves the esthetic appearance of the breasts, thereby improving patient self-esteem. BRCA in breast cancer: ESMO clinical practice guidelines. 2003;56:462470. Autologous breast reconstruction in women older than 65 years versus women younger than 65 years: a multi-center analysis. Follow-up was conducted in a mean of 2.15 years (standard deviation [SD] 1.58) after the surgery. Al-Mufarrej FM, Woods JE, Jacobson SR. The mean weight of the gland averaged 340180 g (range: 80820 g), whereas the mean implant size averaged 32065 cc (range: 85490 cc). Fracol M, Feld LN, Chiu W-K, Kim JYS. 1993;2:217227. Ann Surg Oncol. Better cosmetic results and comparable quality of life after skin-sparing mastectomy and immediate autologous breast reconstruction compared to breast conservative treatment. Dove Medical Press is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC Turn on desktop notifications for breaking stories about interest? The JBI Critical Appraisal Checklist was used to assess the methodological quality of the observational studies. Lucas RE. Multi-institutional evaluation of women at high risk of developing breast cancer. Furthermore, the references of selected articles were manually searched for relevant articles. 18. 64. Actor and activist Gabrielle Union and daughter, activist Zaya Wade, join the Dove Self-Esteem Project to discuss toxic beauty advice on social and #DetoxYourFeed. doi:10.1200/JCO.20.00299, 34. In order to provide our website visitors and registered users with a service tailored to their individual preferences we use cookies to analyse visitor traffic and personalise content. doi:10.1097/00006534-200009040-00003, 54. McCarthy CM, Klassen AF, Cano SJ, et al. Within the included studies, average BREAST-Q scores for satisfaction with breasts domain ranged from 39.5 to 75.8 pre-operatively and increased to 51.182.0 post-operatively which can be attributed to a favorable change in body image. The postoperative questionnaires were answered during the follow-up examination. 59. Scarless Circum-Areola incision 4 II. The EORTC Breast Cancer-Specific Quality of Life Questionnaire (EORTC QLQ-BR23): translation and Validation study of the Iranian Version. Aesthet Surg J. Riskofbias VISualization (robvis): an R package and Shiny web app for visualizing riskofbias assessments. Eur Rev Med Pharmacol Sci. 2016;114(4):416422. Davies C, Holcombe C, Skillman J, et al. 41. Other PROMs used in assessing HRQoL in breast cancer patients are equally reliable but have wide reported range. I think it's positive to acknowledge the fact that some women have had double mastectomies and that they have nothing to be embarrassed or ashamed of. J Breast Health. Part 2 objective cosmetic and functional correlates of quality of life in women treated with breast-conserving surgical procedures and radiotherapy . Can J Plast Surg. 2004;22:10551062. AIDS Care. Domchek SM, Friebel TM, Singer CF, et al. Figure 2 Response rate for completion of BREAST-Q questionnaire (%). 2021 The Author(s). Maruccia M, Elia R, Gurrado A, et al. It doesn't bother me. Risk-reducing mastectomy in BRCA1 and BRCA2 mutation carriers: a complex discussion. Volume 2021:13 Pages 711724, Editor who approved publication: Of the 42 studies, only 15 reported the response rate for completion of the BREAST-Q questionnaire, which ranged from 38.4% to 98% (Figure 2). Why he smiles and walks away. Dove Medical Press is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC Didier F, Arnaboldi P, Gandini S, et al. Two patients complained about an uncomfortable restricted feeling during shoulder movements in daily life. *You're signing up to receive QVC promotional email. 29. 2020;145(6):13711379. dove commercial mastectomy 2020 July 1, 2022 dove commercial mastectomy 2020 . Bulk reprints for the pharmaceutical industry. 5 Centimeters Per Second what happens after the ending. Quality of Life and early functional evaluation in direct-to-implant breast reconstruction after mastectomy: a comparative study between prepectoral versus dual-plane reconstruction. 2019;13:55. Cancer. Skin-sparing mastectomy. This mastectomy removes the entire breast and some lymph nodes. Schmauss D, Machens H-G, Harder Y. Woerdeman LA, Hage JJ, Hofland MM, Rutgers EJT. Several features of
Patient Prefer Adherence. A computerized adaptive version of the SF-36 is feasible for clinic and internet administration in adults with HIV. All other domains showed no significant difference. 1 Over 30% of these women undergo a single mastectomy, 2,3 or prophylactic double mastectomy. 2012;20:7589. 2010;125:15851595. Plast Reconstr Surg. What comes next after Texas school shooting? Clinical, histological, and ultrasound follow-up of breast reconstruction with one-stage muscle-sparing wrap technique: a single-center experience. doi:10.1016/s0007-1226(03)00198-x, 53. Ochoa O, Garza III R, Pisano S, et al. I think it's ok to share up to a point, IMO this is the point. The groups were matched, and no significant differences in the race (p=1.00), BMI (p=0.612), and age (p=0.543) were observed. Though not statistically significant, a clear improvement in satisfaction within the breast domain was observed. I just saw the Dove commercial with the Mastectomy patient. doi:10.1016/j.ejso.2019.11.504, 57. J Clin Oncol. The absence or presence of touch sensitivity to the Semmes-Weinstein monofilament (2.83 mm thick) at the crossing points (1 cm apart) was recorded. Episode 2 helps explain how not to compare yourself to others. Factors influencing day surgery patients quality of postoperative recovery and satisfaction with recovery: a narrative review. Beral V, Million Women Study Collaborators. Zhong T, McCarthy C, Min S, et al. 2021;11:4. One study did not include the type of procedure carried out on subjects. EORTC QLQ-BR23 and FACT-B for the assessment of quality of life in patients with breast cancer: a literature review. 19. Although bilateral mastectomy may have an immense effect on the psychological, physical, and social aspects, immediate BR preserves the outer appearance and improves self-esteem.Keywords: risk-reducing mastectomy, implant-based reconstruction, BRCA1, BRCA2, skin-sparing mastectomy, nipple-sparring mastectomy, Breast cancer is the most common cause of cancer-related death among North American and Western European women.1 A family predisposition exists in more than 25% of cases.2,3 Women carrying a pathogenic mutation in the breast cancer gene 1 or 2 (BRCA), as well as those with other genetic susceptibilities or underlying hereditary diseases, are at increased risk of developing breast cancer.4,5, Reports suggest that bilateral risk-reducing mastectomy (BRRM) reduces the risk of breast cancer by up to 95% in women with the BRCA gene mutation and up to 90% in women with strong family predisposition.69 Skin-sparing mastectomy (SSM) or nipple-sparing mastectomy (NSM) is oncologically safe and associated with improved esthetic outcomes.10 Studies based on recurrence and survival rates after NSM and SSM have reported equal oncological safety.1113 In contrast, bilateral mastectomies are irreversible, highly intrusive, and may be associated with severe complications.14, Anxiety about developing breast cancer has supported a greater demand for mutation testing and BRRM.5 Positive media coverage of celebrities undergoing risk-reducing mastectomy with immediate breast reconstruction (BR) has further promoted this therapeutic option. 2016;69:11841191. Matthews H, Carroll N, Renshaw D, et al. Maruccia M, Mazzocchi M, Dessy LA, Onesti MG. One-stage breast reconstruction techniques in elderly patients to preserve quality of life. Body Wash Reusable Bottles + Concentrate Refills, Choosing the best moisturizer for dry skin, Body Love Collection | Hand & Body Lotion, Nourishing Secrets Antiperspirant Deodorants, Hair Quiz - Your Personal Hair Care Routine, Dove Black Birth Equity Fund Terms and Conditions, Our Commitment to C.A.R.E. Front Oncol. This indicates that risk-reducing mastectomy and simultaneous BR have only a minor influence on the physical and psychological values 2 years postoperatively. Sorkin M, Qi J, Kim HM, et al. Association of risk-reducing surgery in BRCA1 or BRCA2 mutation carriers with cancer risk and mortality. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sector. Patient satisfaction index and quality of life measurement with Breast-Q after breast reconstruction in a plastic surgery center in Mexico. Plast Reconstr Surg. Advances in nipple-sparing mastectomy: oncological safety and incision selection. Most studies were conducted in the United States (13), with other countries being Italy (7), United States and Canada (4), Canada only (3), Netherlands (4), Germany (3), Mexico (1), Portugal (1), India (1), Australia (1), Denmark (1), United Kingdom (1) and Czech Republic (1). 2017;5(1):e1217. All rights reserved. metaphors in romeo and juliet; how many days till june 3 without weekends; cities: skylines flattest vanilla map. doi:10.1097/PRS.0000000000002950, 65. Development of a core outcome set for research and audit studies in reconstructive breast surgery. 2019;81(6):543551. SF-36 total score as a single measure of health-related quality of life: scoping review. We are available 24/7, so you can give us a call even for emergencies. No nipple-areolar complex (NAC) necrosis was found postoperatively or at the follow-up. 2015;6(4):356362. Creative Commons Attribution - Non Commercial (unported, v3.0) License. 2020:JCO2000299. Plast. 35. Since its introduction, the SF-36 has been continuously developed and is frequently used to monitor the effect of therapy or disease progression.1720 Because of the lack of organ-specific questionnaires to quantify HRQoL after esthetic or reconstructive breast surgery, the BREAST-Q was developed by the Memorial Sloan-Kettering Cancer Center and the University of British Columbia.2124. Eur J Surg Oncol. The top notch tools and professional grade products, parts, and materials we use, combined with our substantial experience in the business, guarantees the quality work and results you deserve. Maturitas. Pirro O, Mestak O, Vindigni V, et al. Is there a rationale for autologous breast reconstruction in older patients? Rowland JH, Desmond KA, Meyerowitz BE, Belin TR, Wyatt GE, Ganz PA. Role of breast reconstructive surgery in physical and emotional outcomes among breast cancer survivors. Non-BRCA familial breast cancer: review of reported pathology and molecular findings. Protocol: protocol for a mixed-method study to inform the feasibility of undertaking a large-scale multicentre study comparing the clinical and patient-reported outcomes of oncoplastic breast conservation as an alternative to mastectomy with or without immediate breast reconstruction in women unsuitable for standard breast-conserving surgery (the ANTHEM Feasibility Study). 2017;49:363370. 2017;35(22):24992506. 2010;CD002748. Predictors of satisfaction and quality of life following post-mastectomy breast reconstruction. J Plast Reconstr Aesthet Surg. 2019;8(1):3. I've seen this several times. In the past 30 days, Dove has had 2,227 airings and earned an airing rank of #490 with a spend ranking of #300 as compared to all other advertisers. 20. Continuous variables were reported as meanSD and categorical variables as number (percentage). In order to provide our website visitors and registered users with a service tailored to their individual preferences we use cookies to analyse visitor traffic and personalise content. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . If someone asked you to describe yourself, what would you say? Lins L, Carvalho FM. If it's just a naked woman with breasts blurred for censorship, that's just unnecessary scandal for attention and that's sad. 40. The average body mass index (BMI) was 27 (range: 1852) kg/m2, and 11 patients had a history of constant nicotine abuse. The SF-36 results of our sample differed only slightly from that of the general female population. I actually called my BF to the TV to show him. Copyright 2017 Informa PLC. This review will address the following questions: This review adhered to the Preferred Reporting in Systematic Review & Meta-Analysis (PRISMA) guidelines and was listed retrospectively on the PROSPERO International Prospective Register of Systematic Review (CRD42021278102).21 PubMed, Google Scholar, Science Direct, Cochrane CENTRAL, and trial registries (http://clinicialtrials.gov/) were searched for relevant studies published from January 1st, 2009 to September 30th, 2021. Recommend this site 54. Therefore, in this study, we evaluated HRQoL, esthetic outcomes, and changes in patient well-being using the SF-36 and BREAST-Q questionnaires preoperatively and after BRRM and simultaneous implant-based BR. 2017;70:15271536. 2014;72:S615. Front Surg. A single-centre study. 2018;141:10771084. Nipple-sparing bilateral prophylactic mastectomy and immediate reconstruction with TiLoop Bra mesh in BRCA1/2 mutation carriers: a prospective study of long-term and patient reported outcomes using the BREAST-Q. 42. doi:10.1001/jama.2010.1237, 8. Accessed November 29, 2021. After considering the risk and benefit of both procedures, the operative strategy was determined by the patient. JAMA Surg. 2008;122:1928. 34. Privacy Policy This review also found that autologous BRS had better PROs than implant-based BRS in all BREAST-Q domains. Gttingen, Germany: Hogrefe Verlag GmbH & Co. KG; 1998. Reynolds C, Davidson JA, Lindor NM, et al. A standard set of value-based patient-centered outcomes for breast cancer: the International Consortium for Health Outcomes Measurement (ICHOM) Initiative. Comparing the pre- and postoperative BREAST-Q results, a significant decrease in the physical well-being of the chest (p=0.0179) and a slight improvement in breast satisfaction were observed (p=0.3266). 2021;21(4):344351. Patient satisfaction with postmastectomy breast reconstruction: a comparison of saline and silicone implants. The BREAST-Q tool was compared with five other HRQoL PROM questionnaires (Table 3). fatal accident in apple valley, ca; covid test pitt county; kevin samuels zodiac sign; band music publishers; pennsauken police department ori number; Anaesthesia. However, a restriction in range of motion could not be detected. Cancer Treat Rev. Appearance hate costs young people their health, happiness, and even their lives. 2013;22:158161. Plast Reconstr Surg. Studies that did not use BREAST-Q questionnaire as a PROM, or did not fully report BREAST-Q satisfaction or health-related quality of life outcomes. All patients were marked before surgery in a standing position. Ann Surg Oncol. It's a woman with a double mastectomy. Increasing mastectomy rates among all age groups for early stage breast cancer: a 10-year study of surgical choice. J Plast Reconstr Aesthet Surg. A comparison of patient-reported outcomes between Alloderm and Dermacell in immediate alloplastic breast reconstruction: a randomized control trial. Javascript is currently disabled in your browser. Patient-reported aesthetic satisfaction with breast reconstruction during the long-term survivorship period. SAGE Open Med. Acellular dermal matrix in immediate expander/implant breast reconstruction: a multicenter assessment of risks and benefits. Her doctor did a great job of keeping her scars to just a line on each side. I've seen way worse! doi:10.1016/j.bjps.2017.06.023, 66. when answering the pain questions, and answers are not limited to the patients in the study related the question not to only surgery-associated chest pain. Breast cancer after prophylactic bilateral mastectomy in women with a BRCA1 or BRCA2 mutation. 2020;46:10341040. Indonesian J Cancer. Pusic AL, Matros E, Fine N, et al. 86. By using iSpot.tv, you accept our. A comparison of psychological response, body image, sexuality, and quality of life between immediate and delayed autologous tissue breast reconstruction: a prospective long-term outcome study. 91. doi:10.1016/j.bpobgyn.2019.11.006, 16. Most studies compared PROs between different types of BRS. Why would anyone want to show something so traumatic and personal to strangers. Baseline data and data on previous operations and operation techniques were retrieved from the patients charts. In: Rainsbury D, Willett A, editors. doi:10.3978/j.issn.2227-684X.2015.04.21, 15. Breast J. 2015;13:147153. Ann Surg Oncol. 68. doi:10.1097/PRS.0000000000002536, 32. The items were assessed as low risk, high risk, or some concerns. The BREAST-Q: further validation in independent clinical samples. Allen RJ, Sobti N, Patel AR, et al. 2020;146(5):964975. Casella D, Di Taranto G, Marcasciano M, et al. Average scores for satisfaction with information ranged from 53.5 to 89, satisfaction with the surgeon, 83.2100.0, Satisfaction with the medical team, 78.0100.0, and satisfaction with the administrative team, 81.5100.0. 62. 2016;22:1017. Hunt KK, Euhus DM, Boughey JC, et al. Instead, coverage of the lower implant pole was performed using the raised deepithelialized semilunar flap. 2009;118:623633. Indian J Surg. Three patients had an early postoperative infection, which healed fully after antibiotic administration. 2020;46(6):10341040. The patients were divided into the NSM (n=17) and SSM (n=5) groups. Now, I'm older, and I don't think I'd care that much anymore. Qual Life Res. 2012;118(6):17011709. I DO NOT WANT TO SEE THAT !!! Patient-reported outcomes and satisfaction after total skin-sparing mastectomy and immediate expander-implant reconstruction. The opinions expressed in all articles published here are those of the specific author(s), and do not necessarily reflect the views of Dove Medical Press Ltd or any of its employees. In this manner, a pocket for the implant, as well as an inframammary fold, was created. Associations & Partners Physical well-being (chest and upper body) had average scores ranging from 57.8 to 81.4 at baseline and 53.283.0 post-operatively. 2017;3(5):677685. Plast Reconstr Surg. Fingeret MC, Nipomnick SW, Crosby MA, Reece GP. Arroyo JMG, Lpez MLD. Breast cancer is the most prevalent type of cancer globally. McGuinness LA, Higgins JPT. 2021;29(12):645102. doi:10.1097/GOX.0000000000001217, 72. 26. 33. Patient satisfaction with nipple-sparing mastectomy: a prospective study of patient reported outcomes using the BREAST-Q. You can learn about what data of yours we retain, how it is processed, who it is shared with and your right to have your data deleted by reading our Privacy Policy. @rms1954 Go find "contact us"on their website and tell them what you think. Each Domain Ranges from 0, Signifying the Least Possible Level of Satisfaction or Wellbeing, to 100, Signifying the Highest (0100 Range in Each Domain), Only two studies in this review compared the PROs following autologous BRS with different flap types. Ueda S, Tamaki Y, Yano K, et al. 2013;19:571581. 2011;31:310319. Plast Reconstr Surg. Plast Reconstr Surg Glob Open. How we can build a clean and renewable future. 2010;66(4):397407. To what extent has BREAST-Q evaluated PROM amongst patients who have undergone BRS? 2007;120(4):823837. Decision-making in the surgical treatment of breast cancer: factors influencing womens choices for mastectomy and breast conserving surgery. The prospective single-center study protocol was approved by the institutional ethics committee (021/17-ek) and was performed in accordance with the Declaration of Helsinki. 18. J Natl Cancer Inst. Breast. 2015;102(11):13601371. 84. Macadam SA, Ho AL, Cook EF Jr, Lennox PA, Pusic AL. Recommend this site Chun YS, Verma K, Rosen H, et al. The other authors declare that they have no conflicts of interest in this work. Patients preferences for surgical and adjuvant systemic treatment in early breast cancer: a systematic review. 22. Lastly, there was diversity amongst the geographic origin of included studies which may have introduced sociocultural factors. Clin Ter. Published February 11, 2020 Advertiser Dove Skin Care Advertiser Profiles During the follow-up investigation a physician performed the clinical inspection and the patients filled out the postoperative questionnaires. BMJ. 40. doi:10.1016/j.bjps.2015.11.013, 24. Amazon Echo Dot TV Spot, 'Alexa Moments: Yoga', Dove Deep Moisture Body Wash TV Spot, 'Wash Tag', Dove Body Wash TV Spot, 'Change Is Beautiful', Dove Body Wash TV Spot, 'Evolucin' [Spanish], Dove Skin Care Ultimate Dry Spray TV Spot, 'Ya esta seco' [Spanish], This site uses cookies to provide you with a great user experience. Debate relating to the recovery of sensation in post-mastectomy skin after flap reconstruction dates back to the 1990s and stems from the argument that the skin recovers sensation regardless of flap neurotization (16,17).In 1999, Blondeel et al. 31. Plast Reconstr Surg. Vertical incision 5-7 4. Why are people hesitant to trust a COVID-19 vaccine? John Wiley & Sons, Ltd; 2019: 205228. Page MJ, McKenzie JE, Bossuyt PM, et al. In all domains, autologous BRS had higher post-operative scores compared to implant-based. doi:10.1002/hec.4730020305, 29. Ludolph I, Horch RE, Harlander M, et al. Physical and psychosocial wellbeing following BRS was assessed in most of the included studies and showed overall improvement. Plast Reconstr Surg. 2nd Impeachment Trial: What this could mean for Trump, Presidential transition of power: Examined, How Donald Trump spent his last days as president, How Joe Biden's inauguration will be different from previous years, Trump challenges the vote and takes legal action, 2020s DNC and RNC are different than any before, Power Trip: Those Who Seek Power and Those Who Chase Them, Leave No Trace: A Hidden History of the Boy Scouts, Keeper of the Ashes: The Oklahoma Girl Scout Murders, The Orphans of COVID: America's Hidden Toll, X / o n e r a t e d - The Murder of Malcolm X and 55 Years to Justice, Do Not Sell or Share My Personal Information. Register, redeem, or learn more about Hair Assurance. Ann Oncol. N Engl J Med. Ann Plast Surg. PurposeThis study is to directly compare surgical outcomes between conventional nipple-sparing mastectomy (CNSM) and robot-assisted nipple-sparing mastectomy (RNSM).Materials and MethodFor this case-control study, 369 cases of 333 patients who underwent CNSM or RNSM with immediate reconstruction between November 2016 and January 2019 at Severance Hospital in Seoul, Republic of Korea were . The absence or presence of touch sensitivity to the Semmes-Weinstein monofilament at the crossing points was recorded. A lot of women feel like they're less than because of a mastectomy. Pusic AL, Klassen AF, Scott AM, Klok JA, Cordeiro PG, Cano SJ. 2017;35(22):24992506. Patient-reported outcomes after ADM-assisted implant-based breast reconstruction: a cross-sectional study. Breast J. Cocquyt VF, Blondeel PN, Depypere HT, et al. Once verified, the information you provide will be displayed on our site. Satisfaction with cosmetic outcomes of breast reconstruction: investigations into the correlation between the patients Breast-Q outcome and the judgment of panels. All studies were of high quality and were therefore included in the review. Sign up to track 66 nationally aired TV ad campaigns for Dove. 51. I don't know what you mean by a woman with her breasts removed. Number 3099067. Double Incision Mastectomy with Free Nipple Graft for Masculinizing Chest Wall Surgery. June 11, 2022 . Testimonials 1978;37:378381. Through study screening, there was a wide variation of BRS types evident in literature, therefore a meta-analysis would show significant heterogeneity and ungeneralizable results. Martinez-Lpez JC, Garca-Espinoza JA, Flores-Soto D, et al. 2007;120(4):823829. J Plast Reconstr Aesthet Surg. Functional Assessment of Cancer Therapy Questionnaire for Breast Cancer (FACT-B+4): Italian version validation. Breast Care. 2016;160(1):7989. J Plast Reconstr Aesthet Surg. Table 1 Postoperative Symmetry Between the Right and Left Breasts, In the follow-up period, the mean SF-36 scores were: physical functioning 85.9015.47; physical role functioning 76.1335.75; bodily pain 75.0922.73; general health perception 71.6318.64; vitality 61.1317.85; social role function 85.7922.91; emotional role functioning 86.3631.97; and mental health 74.908.27. Asia Pac J Oncol Nurs. In nearly all studies that compared PROs between autologous and implant-based BRS, autologous BRS had better outcomes comparatively.2837 Table 2 shows the average BREAST-Q scores for the HRQoL subscales between autologous and implant-based BRS. Ann Plast Surg. N Engl J Med. Compared to reference values, a significantly higher score was recorded for the body pain domain (p=0.043) in our population. Validation of the electronic version of the BREAST-Q in the army of women study. All studies used the breast reconstruction module of the BREAST-Q tool and aimed to assess the satisfaction and/or QoL of participants after BRS following mastectomy. Choose Keagy's Best Price Plumbing for the quality plumbing work you deserve. 1987;80:699704. One suction drain was inserted into the subcutaneous pocket. 58. Ou Z, Tang Y, Fu J, Doucette J, Murimi IB. 2013;4(6):6168. Postoperatively, 12 patients had a unilateral breast grade I sensitivity deficit, whereas six patients had a bilateral breast grade I sensitivity deficit. De Felice F, Marchetti C, Musella A, et al. Is BREAST-Q an effective tool for measuring PROMs in BRS? Thirteen studies assessed satisfaction with information, surgeon, medical team, and administrative staff domains, respectively. Although we were able to demonstrate the statistical significance in our analyses, our sample size was rather small. Patient motivations for choosing postmastectomy breast reconstruction. 2001;91(12):22822287. 2020;12(24):6070. Macadam S, Lennox PA. Acellular dermal matrices: use in reconstructive and aesthetic breast surgery. 2014;40:10051018. The sample size, especially in the SSM group, was too small to establish the superiority of one group over the other in an intergroup comparison.