{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T18:30:09Z","timestamp":1786386609567,"version":"build-2736575974"},"reference-count":42,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Methods<\/jats:title>\n                    <jats:p>Oncoplastic breast surgery (BCS) has been associated with improved patient\u2010reported satisfaction; however, objective comparisons with standard breast\u2010conserving surgery remain limited. This study compared overall and domain\u2010level aesthetic outcomes among standard lumpectomy, volume displacement, and volume replacement techniques using a validated observer\u2010based Breast Aesthetic Scale. Standardized postoperative photographs from 12 patients were evaluated by 74 independent student observers across 13 domains. Mixed\u2010effects regression modelled surgical technique as a fixed effect with rater as a random intercept. \u0160id\u00e1k\u2010adjusted pairwise comparisons and nonparametric tests were performed as sensitivity analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Surgical technique significantly influenced overall aesthetic outcomes (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Volume displacement demonstrated higher overall scores compared with partial mastectomy (mean difference +0.35, 95% CI: 0.30\u20130.40) and volume replacement (+0.15, 95% CI: 0.10\u20130.19). Volume replacement outperformed partial mastectomy (+0.20, 95% CI: 0.16\u20130.25); all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001. Domain analyses showed volume displacement scored highest in breast symmetry, nipple symmetry, and overall appearance, while lumpectomy scored highest in scar appearance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Volume displacement was associated with higher observer\u2010rated aesthetic scores following BCS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Observer\u2010based assessment may inform technique\u2010specific counselling and future outcomes research.<\/jats:p>\n                  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