{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:26:46Z","timestamp":1772990806572,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:00:00Z","timestamp":1769126400000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Skin\u2010reducing mastectomy (SRM) allows implant\u2010based immediate breast reconstruction in women with large, ptotic breasts. This study aimed to evaluate the surgical and patient\u2010reported outcomes (PRO) following SRM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on patients who underwent SRM between January 2011 and December 2014. Surgical complications, oncological outcomes, and PRO (using BREAST\u2010Q) were collected, with a median follow\u2010up of 10\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty\u2010five women (95 breasts) underwent SRM and completed the first round of the BREAST\u2010Q questionnaire. 82.3% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200945) had SRM for cancer treatment, and the remaining had risk\u2010reducing surgery. 83.6% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200946) had direct\u2010to\u2010implant reconstruction, and the remainder had a tissue expander inserted. The mean breast weight was 714\u2009g, and the mean implant volume was 398\u2009mL. The overall complication rate was 58.9%. The most common complication was skin loss due to flap\/skin necrosis (24.2%), followed by capsular contracture (18.9%), seroma (7.4%), wound dehiscence (5.3%), implant infection (2.1%), and bleeding (1%). The early implant loss rate was 10.5%. At 10\u2009years (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200917), the local recurrence rate was 4.4%, the overall survival rate was 97.7%, and the disease\u2010free survival rate was 88.9%. Breast\u2010Q scores were comparable to previous studies (mean score of 65.33). 30.9% of patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200917) completed the modified BREAST\u2010Q questionnaire at 10\u2009years of follow\u2010up. Reconstructed breast satisfaction was high, and 76.5% of patients would choose to undergo SRM again if given the option.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In certain patients with larger breasts, SRM can facilitate implant\u2010based immediate breast reconstruction without the need for mesh. Despite relatively high complication rates, patient satisfaction remains high.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70485","type":"journal-article","created":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T07:59:49Z","timestamp":1769241589000},"page":"125-137","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Skin\u2010Reducing Mastectomy and Implant Reconstruction: Long\u2010Term Surgical, Oncological, and Patient\u2010Reported Outcomes"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4355-6717","authenticated-orcid":false,"given":"Gaik Si","family":"Quah","sequence":"first","affiliation":[{"name":"Westmead Breast Cancer Institute Westmead Hospital  Westmead New South Wales Australia"},{"name":"Westmead Clinical School, Faculty of Medicine and Health University of Sydney  New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meagan","family":"Brennan","sequence":"additional","affiliation":[{"name":"Westmead Breast Cancer Institute Westmead Hospital  Westmead New South Wales Australia"},{"name":"Westmead Clinical School, Faculty of Medicine and Health University of Sydney  New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"French","sequence":"additional","affiliation":[{"name":"Westmead Breast Cancer Institute Westmead Hospital  Westmead New South Wales Australia"},{"name":"Westmead Clinical School, Faculty of Medicine and Health University of Sydney  New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth","family":"Elder","sequence":"additional","affiliation":[{"name":"Westmead Breast Cancer Institute Westmead Hospital  Westmead New South Wales Australia"},{"name":"Westmead Clinical School, Faculty of Medicine and Health University of Sydney  New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199106000-00006"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199705000-00013"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000233024.08392.14"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-010-0951-7"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2007.10.006"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clbc.2013.08.013"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2004.02.004"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2018.1687"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181aee807"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjz023"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjaf128"},{"key":"e_1_2_8_13_1","unstructured":"Jamovi The jamovi project. 2.6 ed2024."},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200207000-00037"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13046-015-0227-5"},{"key":"e_1_2_8_16_1","first-page":"1048","volume-title":"Plastic and Reconstructive Breast Surgery. 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