Implant-Based Reconstruction following Mastectomy in Patients Who Have Had a Previous Breast Augmentation: Lessons from the National Multicenter Implant Breast Reconstruction Evaluation Study

Background: Breast augmentation is the most commonly performed cosmetic procedure, and increasingly women ill 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 horn breast and plastic surgical units across the United Kingdom. Demographic, operative, and oncologic data, and information regarding complications within 3 postoperative mouths 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 iRRA 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/m(2) versus 24.9 kg/m(2); p < 0.01), and had smaller tumors (15 min versus 25 min; 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 patient-reported outcomes at 18 months. Conclusions: The clinical and patient-reported Outcomes of patients under-going immediate implant-based breast reconstruction following previous augmentation are consistent with those observed in die wider iBRA Study cohort, supporting the safety of this approach.

Automated summary

This study examined the clinical and patient-reported outcomes of women undergoing immediate implant-based breast reconstruction following previous augmentation. The results showed that the outcomes of this approach were similar to those of patients without cosmetic implants.