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Aims: A retrospective analysis of the psychological advantages of immediate reconstruction (IR) against delayed reconstruction (DR).

Methods: A total of 121 patients who underwent different types of breast reconstruction were seen in the follow-up clinic and assessed for: anxiety, depression, body image, self-esteem, sexuality and satisfaction.

Results: Ninety-five percent of the patients who had IR preferred this technique and 76% of the DR group would have preferred IR. Anxiety and depression were decreased and body image, self-esteem and sexual feeling of attractiveness and satisfaction were significantly superior in the IR group compared with that of the DR group.

Conclusion: Patients who had immediate reconstruction recalled less distress and had better psychosocial well being than those who had delayed reconstruction.

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http://dx.doi.org/10.1053/ejso.1999.0733DOI Listing

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