Breast Cancer Research and Treatment

, Volume 118, Issue 3, pp 623–633

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
Brief Report

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.

Keywords

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

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Copyright information

© Springer Science+Business Media, LLC. 2008

Authors and Affiliations

  • F. Didier
    • 1
  • D. Radice
    • 2
  • S. Gandini
    • 2
  • R. Bedolis
    • 1
  • N. Rotmensz
    • 2
  • A. Maldifassi
    • 1
  • B. Santillo
    • 2
  • A. Luini
    • 3
  • V. Galimberti
    • 3
  • E. Scaffidi
    • 1
  • F. Lupo
    • 1
  • S. Martella
    • 4
  • J. Y. Petit
    • 4
  1. 1.Psycho-Oncology Unit, Department of Medicine (Prof. A. Goldhirsch)European Institute of OncologyMilanItaly
  2. 2.Division of Epidemiology and BiostatisticsEuropean Institute of OncologyMilanItaly
  3. 3.Department of Breast SurgeryEuropean Institute of OncologyMilanItaly
  4. 4.Department of Plastic SurgeryEuropean Institute of OncologyMilanItaly

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