Background
Breast reconstruction following mastectomy plays a crucial role in helping women affected by breast cancer regain a sense of normalcy. Breast implants have been widely used for this purpose, offering a seemingly convenient solution. However, emerging evidence has shed light on the advantages of autologous breast reconstruction, sparking a paradigm shift in the field.
Methods
A systematic review was conducted exploring the advantages of autologous breast reconstruction, identifying a total of 12 studies.
Results
Autologous reconstruction offers several advantages over breast implants including the ability to achieve a more natural aesthetic outcome that complements normal contours. All studies confirmed higher satisfaction rates among women who chose autologous reconstruction. A study involving 92 women who underwent breast reconstruction between 2006 and 2010 compared autologous reconstruction (n=55) with implants (n=45). It revealed that 90% of women who underwent autologous reconstruction reported satisfaction after 8 years, in contrast to the 82% satisfaction rate for those with breast implants. Autologous reconstruction mitigates potential complications associated with implants, such as BIA-ALCL, implant rupture and capsular contracture. Patients also experience restored sensation, heightened tactile perception, and an improved overall quality of life. Moreover, autologous tissue allows for simultaneous procedures like abdominal contouring, further enhancing satisfaction. Conversely, breast implants have a limited lifespan and require replacement every 10-15 years, potentially necessitating additional surgeries.
Conclusion
Autologous breast reconstruction surpasses implant-based approaches by effectively addressing aesthetic, functional, and longevity considerations. The reviewed literature supports the preference for autologous reconstruction over breast implants. By making informed decisions and tailoring treatment options to meet individual needs, we can significantly enhance the outcomes for women undergoing breast reconstruction.
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