Does nipple preservation in mastectomy improve satisfaction with cosmetic results, psychological adjustment, body image and sexuality?

F. Didier, D. Radice, S. Gandini, R. Bedolis, N. Rotmensz, A. Maldifassi, B. Santillo, A. Luini, V. Galimberti, E. Scaffidi, F. Lupo, S. Martella, J. Y. Petit

Research output: Contribution to journalArticle

Abstract

We investigated the influence of nipple areolar complex (NAC) sparing in mastectomy, on patient satisfaction with cosmetic results, body-image, sexuality and psychological well-being. We developed a specific questionnaire and compared two groups of women who underwent radical mastectomy with immediate breast reconstruction (IBR). Between 2004 and 2006, 310 women with NAC preservation and 143 patients with successive NAC reconstruction were mailed the questionnaire at follow-up 1 year after definitive complete breast reconstruction surgery. 256 questionnaires was available. Our results showed significant differences in favour of the NAC sparing group regarding body image (difficulty in looking at themselves naked and being seen naked by their partners after surgery, P = 0.001 and P = 0.003, respectively); regarding satisfaction with the appearance of the nipple (P <.0001) and with the sensitivity of the nipple (P = 0.001); regarding the feeling of mutilation (P = 0.003). NAC sparing in mastectomy has a positive impact on patient satisfaction, body image and psychological adjustment.

Original languageEnglish
Pages (from-to)623-633
Number of pages11
JournalBreast Cancer Research and Treatment
Volume118
Issue number3
DOIs
Publication statusPublished - Dec 2009

Keywords

  • Body image
  • Mastectomy
  • Nipple areolar complex sparing
  • Psychological adjustment
  • Satisfaction with cosmetic plastic surgery results
  • Sexuality

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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