Outcomes in breast reconstruction using the BREAST-Q questionnaire at a third level hospital center in Mexico City


  • Andrea Embarcadero Becerra Department of Plastic and Reconstructive Surgery, General Hospital of Mexico “Dr. Eduardo Liceaga”, Mexico City, Mexico
  • Karla Fabiola Grau Gutierrez Rubio School of Medicine, Autonomous University of Mexico, Mexico
  • Luciano Ríos Lara Y. Lopez Department of Plastic and Reconstructive Surgery, General Hospital of Mexico “Dr. Eduardo Liceaga”, Mexico City, Mexico




Breast reconstruction, Latissimus dorsi flap, Mastectomy, Breast, BREAST-Q questionnaire


Background: Breast reconstruction can have a significant impact on the physical, emotional and psychological well-being of patients undergoing mastectomy. The type and timing of breast reconstruction influence the satisfaction index of reconstructed patients.

Methods: A retrospective examination was carried out on patient records from 2016 to 2024 at general hospital of Mexico. The analysis encompassed 210 patients who underwent breast reconstruction during this frame time. The BREAST-Q questionnaire was administered in March 2024 and at various intervals during each patient´s post-operative care. Patients were stratified according to multiple variables such as: oncological therapy, timing of reconstruction, type of reconstruction and educational attainment.

Results: The average age of the participants was 50.3 years. In terms of reconstruction timing, 25.24% underwent immediate reconstruction, while 74.76% opted for delayed reconstruction. When it came to BMI, the average was 26.99 kg/m². Regarding the type of flap used for reconstruction, the majority (82.86%) had a latissimus dorsi flap. The overall demonstrated a mean psychosocial well-being scale score of 76±6.6.

Conclusions: Breast reconstruction goes beyond physical restoration; it can profoundly impact a patient's emotional recovery, self-image, and quality of life. By addressing not only the physical changes but also the emotional and psychological aspects of breast cancer treatment, reconstruction plays a vital role in helping patients move forward with confidence, resilience, and a sense of empowerment. Regardless of when we first contact the patient, it is always worthwhile to provide her with information and the option of reconstruction.


Stumpf CC, Zucatto ÂE, Cavalheiro JAC, De Melo MP, Cericato R, Damin APS, et al. Oncologic safety of immediate autologous fat grafting for reconstruction in breast-conserving surgery. Breast Cancer Res Treat. 2020;180(2):301-9.

Elizalde-Méndez Á. Factors associated with complications in breast reconstruction in patients with breast cancer treated with mastectomy. Gaceta Mex Oncol. 2021;20(1):20-6.

Voineskos SH, Oluwatobi RO, Tsangaris E. Comparing breast sensation between alloplastic and autologous breast reconstruction patients using the BREAST-Q sensation module. Plast Reconst Surg. 2021;150(6):1202-13.

Santosa KB, Qi J, Kim HM, Hamill JB, Wilkins EG, Pusic AL. Long-term patient-reported outcomes in postmastectomy breast reconstruction. JAMA Surg. 2018;153(10):891-9.

Eltahir Y, Werners LL, Dreise MM, Van Emmichoven Z, Ingeborg A, Werker PM, et al. Which Breast Is the Best? Successful Autologous or Alloplastic Breast Reconstruction: Patient-Reported Quality-of-Life Outcomes. Plast Reconst Surg. 2015;135(1):43-50.

Kim M, Vingan P, Boe LA, Mehrara B, Stern CS, Allen RJ Jr, et al. Satisfaction with Breasts Following Autologous Reconstruction: Assessing Associated Factors and the Impact of Revisions. Plast Reconst Surg. 2024;1:1-15.

Haddad JL. Reconstrucción mamaria en el Servicio de Cirugía Plástica del Hospital General de México 1995-2000. Rev Med Hosp Gen Mex. 2001;64(4):210-9.

Pusic A, Matros E, Fine N, Buchel E, Gordillo GM, Hamill JB, et al. Patient-Reported Outcomes 1 Year After Immediate Breast Reconstruction: Results of the Mastectomy Reconstruction Outcomes Consortium Study. JCO. 2017;35(22):2499-506.

Shamsunder MG, Thais PO, McCarthy MC. Understanding preoperative breast satisfaction among patients undergoing mastectomy and immediate reconstruction: BREAST-Q insights. Plast Reconst Surg. 2021;148(6):891-902.

BREAST-Q Portfolio. BREAST Q-Breast Cancer. Available at: https://qportfolio.org/breast-q/breast-cancer/. Accessed on 02 March 2024.

Matros E, Albornoz CR, Razdan SN, Mehrara BJ, Macadam SA, Ro T, et al. Cost-effectiveness analysis of implants versus autologous perforator flaps using the BREAST-Q. Plast Reconst Surg. 2015;135(4):937-46.

Temple-Oberle C, Shea-Budgell MA, Tan M, Semple JL, Schrag C, Barreto M, et al. Consensus Review of Optimal Perioperative Care in Breast Reconstruction: Enhanced Recovery after Surgery (ERAS) Society Recommendations. Plast Reconst Surg. 2017;139(5):1056e-71e.

Morrow M, Scott SK, Menck HR, Mustoe TA, Winchester DP. Factors Influencing The Use of Breast Reconstruction Postmastectomy: A National Cancer Database Study. J Am College Surgeons. 2001;192(1):1-8.

Jagsi R, Jing J, Adeyiza OM, Amy A, Sharon HG, Thomas AB, et al. Trends and Variation in Use of Breast Reconstruction in Patients with Breast Cancer Undergoing Mastectomy in the United States. J Clin Oncol. 2014;32:919-26.

Andrea LP, Klassen AF, Scott AM, Klok JA, Cordeiro PG, Cano SJ. Development of a New Patient-Reported Outcome Measure for Breast Surgery: The BREAST-Q. Plast Reconst Surg. 2009;124(2):345-53.




How to Cite

Becerra, A. E., Grau Gutierrez Rubio, K. F., & Ríos Lara Y. Lopez, L. (2024). Outcomes in breast reconstruction using the BREAST-Q questionnaire at a third level hospital center in Mexico City. International Journal of Research in Medical Sciences. https://doi.org/10.18203/2320-6012.ijrms20241947



Original Research Articles