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 [F] Diseases Research  / PubMed Research Articles  /
Patient reported outcomes of autologous fat grafting after breast cancer surgery.




Breast (Edinburgh, Scotland) 2017 Jun 18; 35()


Brown AWW1; Kabir M2; Sherman KA3; Meybodi F4; French JR5; Elder EB6;

Author Information
  • 1Westmead Breast Cancer Institute, Sydney, Australia. Electronic address: alexbrown79@me.com.
  • 2Westmead Breast Cancer Institute, Sydney, Australia.
  • 3Westmead Breast Cancer Institute, Sydney, Australia.
  • 4Westmead Breast Cancer Institute, Sydney, Australia.
  • 5Westmead Breast Cancer Institute, Sydney, Australia.
  • 6Westmead Breast Cancer Institute, Sydney, Australia.


INTRODUCTION: Autologous fat grafting (AFG) can be used as an adjunct in breast cancer surgery to improve contour defects. Few previous studies have assessed patient reported outcomes (PROs) for AFG. This study analysed AFG use and assessed PROs in terms of physical and psychosocial well-being.

MATERIALS AND METHODS: All patients undergoing AFG were identified from a prospective database and asked to complete the validated BREAST-Q questionnaire and a tool to assess patient-perceived change after AFG (5-point Likert-type scale). Descriptive statistics were computed for all BREAST-Q and perceived change subscales. Independent sample t-tests were conducted to compare scores on each of the BREAST-Q and perceived change subscales by type of breast cancer surgery and radiotherapy status.

RESULTS: 156 AFG sessions were performed over 4 years on 119 breasts in 88 patients. Fifty-seven patients received AFG after reconstruction and 19 after breast conserving surgery. Forty-six patients (52%) completed the questionnaire. BREAST-Q scores (out of 100) and patient-perceived change after AFG (out of 5) were respectively: 54 and 4.0 for Breast satisfaction, 69 and 3.3 for Physical well-being and 60 and 3.6 for Psychosocial well-being. Radiotherapy status and type of surgery made little difference. Number of AFG procedures positively correlated with perceived improvement.

DISCUSSION: Autologous fat grafting was associated with improved patient satisfaction despite small volumes transferred. BREAST-Q scores were comparable with previously published series on reconstructive breast surgery. Perceived change after AFG was no different in patients receiving radiotherapy.

Copyright © 2017 Elsevier Ltd. All rights reserved.




Publication Type: Journal Article

This article is licensed under the the National Library of Medicine License. It uses material from the PubMed National Library of Medicine Data.

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