Breast cancer and reconstruction: It changes inside and out

Pace, Bruno Di; Marotta, Marilisa; Serlenga, Gabriella; Verdura, Vincenzo; Guastafierro, Antonio; Amendola, Davide; Malata, Charles M.; Rubino, Corrado

doi:10.1016/j.bjps.2019.09.015

Cited by 9 publications

(12 citation statements)

References 5 publications

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“…However, it is paramount that further considerations are made into the correlation between the incidence of an increase in video conferencing and a rise in patients who are seeking cosmetic surgery. Within the field of plastic surgery, with particular reference to reconstruction and breast cancer patients, a clear correlation has been established between levels of mood and a woman’s perception of her own body image [ 8 ]. Indeed, the current pandemic has brought about the decision within most healthcare systems to defer all elective surgery, including breast reconstruction [ 9 – 11 ], which in itself is already signifying the psychological effects.…”

mentioning

confidence: 99%

“…Validated questionnaires which evaluate reconstructive plastic surgery procedures in terms of levels of satisfaction, body-image perception and levels of depression are already in wide use [ 7 , 8 , 18 , 19 ]. Therefore, it would now be prudent to investigate the psychological impact of the pandemic on lower moods and potentially depression levels of patients and how this may or may not impact on a patient’s distortion of their own body-image online leading to them seeking cosmetic surgery.…”

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confidence: 99%

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Touch-ups, Rejuvenation, Re-dos and Revisions: Remote Communication and Cosmetic Surgery on the Rise

Padley

Pace

2021

Aesth Plast Surg

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The way in which communication takes place has undergone significant change over the last year leading to alterations regarding the way we perceive our own personal image. Indeed, the increase in remote video interaction seems to have led to an increase in the number of requests for teleconsultations with plastic surgeons in private practice (70% in the UK and 64% in the USA), the so-called Zoom Boom. The reasons connected to this increase are still under investigation, but it is likely that patients’ greater exposure to seeing their own image in online video communication for prolonged periods has highlighted what patients perceive as flaws and/or their self-image does not correspond to the same image that they see in the mirror. However, the motivations for seeking cosmetic surgery cannot be solely attributed to seeing ourselves online more frequently; the psychological impact of the pandemic (lower moods, isolation and greater concerns) may also be to blame. Therefore, the reasons patients hope to touch-up, rejuvenate, re-do or revise their “lockdown faces” need careful attention with a view to understand the extent of which the online distortion of one’s own body image may be the underlying cause. Level of Evidence V “This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .”

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confidence: 99%

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confidence: 99%

Touch-ups, Rejuvenation, Re-dos and Revisions: Remote Communication and Cosmetic Surgery on the Rise

Padley

Pace

2021

Aesth Plast Surg

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“…A key objective in partial breast reconstruction is achieving radical oncological resection whilst aiming for the best aesthetic outcome by employing oncoplastic surgical techniques [ 1–4 ]. However, when faced with centrally located breast cancers, surgeons often opt for mastectomy rather than breast-conserving surgery (BCS) as the nipple areolar complex (more often than not) has to be sacrificed thereby negating a key purpose of BCS.…”

Section: Introductionmentioning

confidence: 99%

Combining the Grisotti flap with a secondary dermoglandular pedicle for partial breast reconstruction following contiguous central-inferior segment breast cancer excision

Malata

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Kazzazi

et al. 2021

Case Reports in Plastic Surgery and Hand Surgery

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A 61-year-old patient (38DD) with multifocal invasive ductal carcinomas requested breast-conserving surgery. An innovative two pedicle combination using a laterally-based Grisotti flap and an inferomedially-based secondary pedicle was designed to reconstruct a combined central breast (NAC included) and inferior segment resection defect. Satisfactory cosmesis with clear resection margins was achieved.

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“…There has been speculation surrounding the possible correlation between this increase in seeking cosmetic surgery being linked to the concept of “lockdown face” and whether constant exposure to one’s image in video conferencing has led to changes in the way we perceive our own image, perhaps even distorting it [ 7 , 9 ]. This potential change in our self-perception, however, could be linked not only to the time spent looking at our own image and noticing one’s flaws but also the psychological impact of the pandemic on patients’ moods [ 7 , 10 ].…”

mentioning

confidence: 99%

“…Previous literature within the field of breast cancer and reconstruction has identified a clear correlation between mood levels and women's body-image perception [10]. Moreover, the decision by the majority of healthcare systems to defer elective surgery during the pandemic, including breast reconstruction [11][12][13], has also likely worsened this psychological impact.…”

mentioning

confidence: 99%

The Psychological Impact of Remote Communication on Body-Image Perception: Cosmetic Surgery on the Rise

Padley

Pace

2021

Aesth Plast Surg

Self Cite

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In recent times the number of requests for teleconsultations with plastic surgeons in private practice (70% in the UK and 64% in the USA) has increased. The correlation between this increase and the concept of “Zoom Boom” changing how we perceive our image is under speculation. However, this could also be linked to the psychological impact of the pandemic on patients’ moods. This study investigated the correlation between the pandemic era and seeking cosmetic surgery while focusing on the psychological impact of the pandemic on body-image perception. An anonymous web-based poll was distributed through social networks in Italy and the UK to patients seeking cosmetic surgery. The questions gathered responses on: 1. patient demographics; 2. cosmetic procedures requested; 3. motivations; 4. delays to cosmetic surgery caused by the pandemic; 5. pandemic effects on mood; 6. influence of video conferencing on body-image perception. A total of 159 respondents completed the online poll. Patients were more inclined to undergo cosmetic surgery during the pandemic citing the wish to improve their “lockdown face” (61%) and also the benefits of home recovery during smart working (36%). Eighty-one percent of respondents stated that video conferencing had impacted on their body-image perception, 95% indicated lower mood due to backlogs and surgery delays, while 72% of participants noted declined body-image perception during the pandemic. Data suggest that although video conferencing appears to play a key role in rising requests for cosmetic surgery consultations, a patient’s negative self-perception is also likely linked to the psychological impact of the pandemic on mood levels. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

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Breast cancer and reconstruction: It changes inside and out

Cited by 9 publications

References 5 publications

Touch-ups, Rejuvenation, Re-dos and Revisions: Remote Communication and Cosmetic Surgery on the Rise

Touch-ups, Rejuvenation, Re-dos and Revisions: Remote Communication and Cosmetic Surgery on the Rise

Combining the Grisotti flap with a secondary dermoglandular pedicle for partial breast reconstruction following contiguous central-inferior segment breast cancer excision

The Psychological Impact of Remote Communication on Body-Image Perception: Cosmetic Surgery on the Rise

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