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Surgeons

Patients

Less technically demanding operations

(Momoh, 2014; Agarwal 2015)

Cosmetic satisfaction was similar for BCS

and mastectomy w reconstruction

(Jegasi, 2015)

Shorter operative times

(Momoh, 2014; Agarwal 2015)

Younger pts don’t want “ptotic breasts”

(Agarwal, 2015; Seth 2015)

Avoidance of donor sites

(Momoh, 2014; Agarwal 2015)

Younger pts – less “donor” sites

(Momoh, 2014; Agarwal 2015; Seth 2015)

Potential for shorter recovery

(Momoh, 2014; Agarwal 2015)

Immediate reconstruction has physiological and

QoL implications

(Eldar, 2005)

Better reimbursement for

implant reconstruction

(Agarwal 2015; Seth 2015)

Insurance (US) covers both breasts-> oncoplastic

surgery

Despite higher rates of capsular contracture,

aesthetic results were good to excellent

(McCarthy, 2005; Corderio, 2014)

Immediate implant reconstruction & RT:

Satisfaction 90%, Would choose the

same method of reconstruction 94%

(Corderio, 2014)

Courtesy Orit Kaidar-Person, Israel

Confused ? It depends on WHO and WHEN you ask

Is this also true for Europe?