One-stage breast reconstruction techniques in elderly patients to preserve quality of life

M. Maruccia, M. Mazzocchi, L.A. Dessy, M.G. Onesti
Eur Rev Med Pharmacol Sci, 2016

Breast reconstruction (BR) in elderly women is not performed frequently. Instead, it is often discouraged because of age-dependent risk factors that could hamper the surgical outcome. However, increasing the rate of BR would dramatically improve the quality of life of a higher number of elderly breast cancer survivors. The quality of life of elderly 138 patients aged 65 to 81 who underwent one-stage BR was evaluated one year post-operatively in relation with the type of surgical technique they received. The three groups were divided as such: the first had subpectoral BR with permanent inflatable expanders, the second had acellular dermal matrix implanted partially sub-muscle and the third had prepectoral reconstruction with Braxon®. Overall, the third group reported the best quality of life in the global health status and in various functioning domains (emotional, physical, social, etc.). At the same time, it registered less intense or frequent symptoms. Age is less of a concern now: Braxon® ADM is, when applicable, the best option for elderly women, as it is the minimally invasive technique that better preserves their quality of life.