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Impact of Autologous Breast Reconstruction on Bra Fit.
Liu, Yen-Tung; Khan, Novera H; Bordes, Mary Catherine; Reece, Gregory P; Francis, Ashleigh M; Chen, Tzuan A; Bravo, Karen; Markey, Mia K.
Affiliation
  • Liu YT; The University of Texas at Austin.
  • Khan NH; The University of Texas at Austin.
  • Bordes MC; The University of Texas MD Anderson Cancer Center.
  • Reece GP; The University of Texas MD Anderson Cancer Center.
  • Francis AM; The University of Texas MD Anderson Cancer Center.
  • Chen TA; University of Houston.
  • Markey MK; The University of Texas at Austin.
Res Sq ; 2023 May 11.
Article in En | MEDLINE | ID: mdl-37214881
ABSTRACT

Purpose:

To inform bra design by analyzing 3D surface images of breast cancer patients who underwent autologous breast reconstruction.

Methods:

We computed bra design measurements on 3D surface images of patients who underwent unilateral and bilateral autologous breast reconstruction. Breast measurements and right-left symmetry between preoperative baseline and postoperative time points were compared using either paired Student t test or Wilcoxon signed rank test, depending on the data's distribution. Regression analysis determined associations between measurements and patient characteristics such as age. Postoperative measurements and symmetry differences were also compared between autologous and implant-based breast reconstruction.

Results:

Among participants who underwent bilateral autologous breast reconstruction, the reconstructed breasts were smaller and positioned higher on the chest wall than their native breasts. For patients who underwent unilateral reconstruction, similar postoperative changes were observed in the contralateral breast due to symmetry procedures. Overall, for participants whose baseline breast measurements showed substantial asymmetry, unilateral reconstruction decreased right-left asymmetry whereas bilateral reconstruction amplified right-left asymmetry. Preoperative baseline breast measurements, age, and BMI were statistically significantly associated with most postoperative breast measurements for participants who underwent bilateral autologous reconstruction. Compared to implant-based reconstruction, autologous reconstruction resulted in fewer changes in breast shape and symmetry that are pertinent to bra fit.

Conclusion:

Preoperative baseline breast measurements, age, and BMI can impact bra designs for breast cancer survivors who undergo autologous reconstruction due to size, shape, and symmetry changes. Bra needs of people who undergo autologous reconstruction differ from those who undergo implant-based reconstruction.
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Res Sq Year: 2023 Document type: Article

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Res Sq Year: 2023 Document type: Article