In 2009, the BREAST-Q was introduced to address the need for a valid, reliable, and responsive patient-reported outcome measure within breast reconstruction. 1 The BREAST-Q assesses patients with breast cancer on multiple scales, including Satisfaction with Breasts, and has become the gold standard patient-reported outcome measure in the setting of breast reconstruction, 2 with routine use in clinical care. Numerous studies have used the BREAST-Q in patients undergoing postmastectomy reconstruction in the shortand long-term postoperative period. [3][4][5][6][7] However, there is a paucity of patient-reported information on preoperative satisfaction with breasts and on