Long-Term Dynamic Changes in Cosmetic Outcomes and Patient Satisfaction after Implant-Based Postmastectomy Breast Reconstruction and Contralateral Mastopexy with or without an Ultrapro Mesh Sling Used for the Inner Bra Technique. A Retrospective Correlational Study

Zsófia József; Mihály Újhelyi; Orsolya Ping; Szilárd Domján; Rita Fülöp; Gabriella Ivády; Tislér Ráchel; Gábor Rubovszky; Norbert Mészáros; István Kenessey; Zoltán Mátrai

doi:10.3390/cancers13010073

Long-Term Dynamic Changes in Cosmetic Outcomes and Patient Satisfaction after Implant-Based Postmastectomy Breast Reconstruction and Contralateral Mastopexy with or without an Ultrapro Mesh Sling Used for the Inner Bra Technique. A Retrospective Correlational Study

Cancers (Basel). 2020 Dec 29;13(1):73. doi: 10.3390/cancers13010073.

Authors

Affiliations

¹ St. Imre Teaching Hospital, Department of Plastic Surgery, 12-16. Tétényi Rd., 1115 Budapest, Hungary.
² National Institute of Oncology, Department of Breast and Sarcoma Surgery, 7-9. Ráth György Str., 1122 Budapest, Hungary.
³ National Institute of Oncology, Centre of Radiological Diagnostics, 7-9. Ráth György Str., 1122 Budapest, Hungary.
⁴ National Institute of Oncology, Centre of Pathology, 7-9. Ráth György Str., 1122 Budapest, Hungary.
⁵ Faculty of Medicine, Semmelweis University, 7-9. Ráth György Str., 1122 Budapest, Hungary.
⁶ National Institute of Oncology, Department of Oncological Internal Medicine and Clinical Pharmacology, 7-9. Ráth György Str., 1122 Budapest, Hungary.
⁷ National Institute of Oncology, Centre of Radiotherapy, 7-9. Ráth György Str., 1122 Budapest, Hungary.
⁸ National Institute of Oncology, National Cancer Registry, 7-9. Ráth György Str., 1122 Budapest, Hungary.
⁹ Second Department of Pathology, Semmelweis University, 26. Üllői Str., 1085 Budapest, Hungary.

Abstract

Immediate implant-based postmastectomy breast reconstruction (IPMBR) with contralateral symmetrization has mostly short-term limited evidence of cosmetic outcomes. Because 84% of early-stage breast cancer patients have overall survival of more than 10 years, reconstructed breast symmetry should provide long-lasting results and acceptable patient satisfaction. Ageing, changes in body weight, and biomechanical changes after IPMBR and symmetrization may contribute to symmetry worsening. This non-interventional single-centre retrospective correlational study presents the clinical and aesthetic results of synthetic ULTRAPRO^® mesh inner bra sling.

Keywords: breast reconstruction; breast symmetrization; mastopexy; oncoplastic breast surgery.