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Round or 'shaped,' implants yield good results in breast reconstruction
Date:2/28/2013

ne to four years after breast reconstruction. About 80 percent of women in both groups had reconstruction immediately after mastectomy.

The BREAST-Q data showed good overall outcomes with both types of implants. Average scores for satisfaction with the overall reconstruction (on a 100-point scale) were approximately 77 for women receiving shaped implants and 75 for those with round implants. Scores for satisfaction with the breasts were about 64 in both groups.

Scores in other areasincluding psychological and sexual well-beingwere also similar for the two groups. Just one area differed significantly between groups: women with shaped implants rated their breasts as firmer than women with round implants.

Findings May Help to Guide Women's Choice of Implants In a finding important to plastic surgeons, there was no difference in implant "rippling" between groups. Rippling, or wrinkling, had been a drawback of the first generation of shaped implants. Newer shaped silicone implants are not yet approved in the United States; clinical trials are underway.

New implants are introduced to the breast reconstruction market with limited data on the outcomes important to patientsespecially in terms of how the reconstruction affects key areas of quality of life. "Patient-reported outcomes data is required to provide guidance based on previous patients' experience and satisfaction profiles," Dr. Macadam and colleagues write.

The new study finds few differences in patient-reported outcomes after breast reconstruction with round versus shaped implants. "[T]hese two types of silicone implants are equivalent in terms of satisfaction with outcome," according to the authors.

Dr. Macadam and colleagues point out the increased firmness of shaped implants as "the one notable difference" between the two types. They believe their findings will help surgeons inform patients about the expected outcomes of reconstruction using round versus
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Contact: Connie Hughes
connie.hughes@wolterskluwer.com
646-674-6348
Wolters Kluwer Health
Source:Eurekalert

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