The psychological impact of immediate rather than delayed breast reconstruction

Eur J Surg Oncol. 2000 Feb;26(1):17-9. doi: 10.1053/ejso.1999.0733.


Aims: A retrospective analysis of the psychological advantages of immediate reconstruction (IR) against delayed reconstruction (DR).

Methods: A total of 121 patients who underwent different types of breast reconstruction were seen in the follow-up clinic and assessed for: anxiety, depression, body image, self-esteem, sexuality and satisfaction.

Results: Ninety-five percent of the patients who had IR preferred this technique and 76% of the DR group would have preferred IR. Anxiety and depression were decreased and body image, self-esteem and sexual feeling of attractiveness and satisfaction were significantly superior in the IR group compared with that of the DR group.

Conclusion: Patients who had immediate reconstruction recalled less distress and had better psychosocial well being than those who had delayed reconstruction.

MeSH terms

  • Adult
  • Aged
  • Anxiety
  • Body Image
  • Breast Neoplasms / psychology*
  • Breast Neoplasms / surgery*
  • Depression
  • Female
  • Follow-Up Studies
  • Humans
  • Mammaplasty / methods*
  • Mammaplasty / psychology*
  • Mastectomy / psychology*
  • Mastectomy, Subcutaneous / psychology
  • Middle Aged
  • Patient Satisfaction
  • Self Concept
  • Sexuality
  • Surveys and Questionnaires
  • Time Factors
  • Treatment Outcome