Fat grafting in breast reconstruction improves psychosocial well-being
Studies have demonstrated that fat grafting is a useful adjunct to breast reconstruction for the treatment of contour irregularities and volume deficits. In the present study, researchers at the University of Michigan in Ann Arbor (US) analyzed the effects of fat grafting as an adjunct to breast mound reconstruction on patient-reported outcomes (PROs) in women undergoing breast reconstruction after mastectomy. They found that fat grafting may improve breast satisfaction, psychosocial well-being and sexual well-being.
Approximately 165 breast cancer patients undergoing fat grafting as well as 1,500 patients without fat grafting were included. Primary end points were patient-reported outcome measures as assessed by the validated BREAST-Q survey, with higher scores on a 0- to 100-point scale indicating better health-related quality of life; secondary endpoints included breast satisfaction and psychosocial, physical, and sexual well-being.
One year after surgery, patients who later underwent fat grafting reported significantly lower breast satisfaction and sexual well-being compared with those who did not receive subsequent fat grafting. Two years after the surgery, the PROs of the fat-grafted cohort had improved regarding similar breast satisfaction, psychosocial well-being and sexual well-being.
Fat grafting may improve breast satisfaction, psychosocial well-being and sexual well-being in patients undergoing breast reconstruction after mastectomy, conclude the authors.