{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T22:48:56Z","timestamp":1782254936833,"version":"3.54.5"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Currently, there is no published evidence on the aesthetic and functional aspirations of women undergoing autologous breast reconstruction. Recognizing that not all surgical goals can always be achieved, we aimed to develop a priority scale based on patient preferences to guide intraoperative decision-making.<\/jats:p>\n                  <jats:p>We conducted a cross-sectional survey targeting patients, plastic surgery specialists, and trainees. Participants ranked 10 aesthetic and functional aspects of breast reconstruction (volume, shape, symmetry, sensitivity, texture, scarring on the breast and abdomen, umbilicus appearance, nipple\u2013areola complex reconstruction, and similarity to the original breast). Responses were analyzed using nonparametric statistical methods, using SPSS (IBM SPSS Statistics, IBM Corp., New York, United States.).<\/jats:p>\n                  <jats:p>A total of 109 responses were collected (56 patients, 26 specialists, 27 trainees). Symmetry emerged as the top priority across all groups. Patients assigned higher importance than surgeons to sensitivity (6.77 vs. 4.38\u20134.50), nipple\u2013areola complex reconstruction (8.18 vs. 7.72\u20137.78), and similarity to the original breast (6.55 vs. 4.63\u20134.89). Experienced surgeons valued breast texture more highly than less-experienced surgeons (8.67 vs. 6.70).<\/jats:p>\n                  <jats:p>While symmetry is universally prioritized, patients place greater value on functional aspects like breast sensitivity. These insights highlight the importance of personalized preoperative counseling to align surgical planning with patient expectations.<\/jats:p>","DOI":"10.1055\/s-0045-1811167","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T23:04:55Z","timestamp":1759359895000},"page":"097-102","source":"Crossref","is-referenced-by-count":0,"title":["Aligning Patient and Surgeon Aesthetic Priorities in Autologous Breast Reconstruction: A Cross-Sectional Survey Study"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7456-6594","authenticated-orcid":false,"given":"Bel\u00e9n","family":"Andresen-Lorca","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Burns, University and Polytechnic Hospital La Fe, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iv\u00e1n","family":"Heredia-Alcalde","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Burns, University and Polytechnic Hospital La Fe, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8778-2193","authenticated-orcid":false,"given":"Pedro","family":"Alvedro-Ruiz","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Burns, University and Polytechnic Hospital La Fe, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Garc\u00eda-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Burns, University and Polytechnic Hospital La Fe, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3770-0292","authenticated-orcid":false,"given":"Ana","family":"Trapero","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Burns, San Carlos Clinic Hospital, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda D","family":"P\u00e9rez-del-Caz","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Burns, University and Polytechnic Hospital La Fe, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,10,1]]},"reference":[{"issue":"12","key":"ref2","doi-asserted-by":"crossref","first-page":"415","DOI":"10.21037\/atm-23-1528","article-title":"Narrative review of patient-reported outcomes of breast reconstruction","volume":"11","author":"E I Chang","year":"2023","journal-title":"Ann Transl Med"},{"key":"ref3","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-030-34603-4","volume-title":"Breast Reconstruction: Modern and Promising Surgical Techniques","author":"H F Mayer","year":"2020"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1159\/000519804","article-title":"Patient-Reported Outcomes in Free-Flap Breast Reconstructive Surgery over Time (PRO-BREST)","volume":"17","author":"D BY Fontein","year":"2022","journal-title":"Breast Care (Basel)"},{"issue":"1130","key":"ref5","doi-asserted-by":"crossref","first-page":"20211033","DOI":"10.1259\/bjr.20211033","article-title":"Understanding breast cancer as a global health concern","volume":"95","author":"L Wilkinson","year":"2022","journal-title":"Br J Radiol"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1159\/000503024","article-title":"Psychological aspects of breast reconstruction after breast cancer","volume":"14","author":"A Pittermann","year":"2019","journal-title":"Breast Care (Basel)"},{"issue":"05","key":"ref7","doi-asserted-by":"crossref","first-page":"651e","DOI":"10.1097\/PRS.0000000000003768","article-title":"Evidence-based clinical practice guideline: autologous breast reconstruction with DIEP or pedicled TRAM abdominal flaps","volume":"140","author":"B T Lee","year":"2017","journal-title":"Plast Reconstr Surg"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"e31185","DOI":"10.1002\/micr.31185","article-title":"The value of microvascular breast reconstruction: cost equivalence of TRAM and DIEP flaps implications in the era of CMS reforms","volume":"44","author":"J A Foppiani","year":"2024","journal-title":"Microsurgery"},{"issue":"02","key":"ref9","first-page":"103","article-title":"Abdominal perforator flap (DIEP) and autologous latissimus dorsi in breast reconstruction. A retrospective comparative study about the first 60 cases of a same surgeon [in French]","volume":"59","author":"I Pluvy","year":"2014","journal-title":"Ann Chir Plast Esthet"},{"issue":"04","key":"ref10","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1097\/SAP.0000000000001312","article-title":"Breast reconstruction: a century of controversies and progress","volume":"80","author":"A Homsy","year":"2018","journal-title":"Ann Plast Surg"},{"key":"ref11","doi-asserted-by":"crossref","DOI":"10.23970\/AHRQEPCCER245","volume-title":"Breast Reconstruction After Mastectomy: A Systematic Review and Meta-Analysis","author":"I J Saldanha","year":"2021"},{"issue":"06","key":"ref12","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1097\/SAP.0000000000000242","article-title":"Breast reconstruction post mastectomy: patient satisfaction and decision making","volume":"76","author":"S K Ng","year":"2016","journal-title":"Ann Plast Surg"},{"issue":"05","key":"ref13","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1097\/SAP.0b013e3181c01279","article-title":"Do patients and providers agree about the most important facts and goals for breast reconstruction decisions?","volume":"64","author":"C N Lee","year":"2010","journal-title":"Ann Plast Surg"},{"issue":"12","key":"ref14","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.1001\/jamasurg.2023.4432","article-title":"Patient preferences for postmastectomy breast reconstruction","volume":"158","author":"R L Shammas","year":"2023","journal-title":"JAMA Surg"},{"issue":"11","key":"ref15","doi-asserted-by":"crossref","first-page":"1186","DOI":"10.1093\/asj\/sjae088","article-title":"The metamorphosis of patient priorities throughout the breast reconstruction process","volume":"44","author":"S P Davison","year":"2024","journal-title":"Aesthet Surg J"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"ojac090","DOI":"10.1093\/asjof\/ojac090","article-title":"Objective analysis of breast symmetry in female patients undergoing breast reconstruction after total mastectomy","volume":"5","author":"U Sampathkumar","year":"2022","journal-title":"Aesthet Surg J Open Forum"},{"issue":"08","key":"ref17","doi-asserted-by":"crossref","first-page":"e72","DOI":"10.1097\/GOX.0000000000000008","article-title":"Breast reinnervation: DIEP neurotization using the third anterior intercostal nerve","volume":"1","author":"A J Spiegel","year":"2013","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"05","key":"ref18","doi-asserted-by":"crossref","first-page":"959e","DOI":"10.1097\/PRS.0000000000009617","article-title":"Clinical relevance of sensory nerve coaptation in DIEP flap breast reconstruction evaluated using the BREAST-Q","volume":"150","author":"E Bijkerk","year":"2022","journal-title":"Plast Reconstr Surg"},{"issue":"08","key":"ref19","doi-asserted-by":"crossref","first-page":"1094","DOI":"10.21037\/gs-23-40","article-title":"Sensory recovery and the role of innervated flaps in autologous breast reconstruction-a narrative review","volume":"12","author":"J M Bubberman","year":"2023","journal-title":"Gland Surg"},{"issue":"13","key":"ref20","doi-asserted-by":"crossref","first-page":"3826","DOI":"10.3390\/jcm13133826","article-title":"Restoring sensation through abdominal flap neurotization in breast reconstruction","volume":"13","author":"M L Silverstein","year":"2024","journal-title":"J Clin Med"},{"issue":"09","key":"ref21","doi-asserted-by":"crossref","first-page":"1229","DOI":"10.1016\/j.bjps.2017.05.001","article-title":"Sensory recovery of the breast after innervated and non-innervated autologous breast reconstructions: a systematic review","volume":"70","author":"J Beugels","year":"2017","journal-title":"J Plast Reconstr Aesthet Surg"}],"container-title":["Indian Journal of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0045-1811167.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T22:44:06Z","timestamp":1782254646000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0045-1811167"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,1]]},"references-count":20,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2026,6,23]]},"published-print":{"date-parts":[[2026,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0045-1811167","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0970-0358","1998-376X"],"issn-type":[{"value":"0970-0358","type":"print"},{"value":"1998-376X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,1]]}}}