Satisfaction and quality of life post-breast reconstruction after explantation

Abstract

Objective: To evaluate general satisfaction and quality of life (physical, emotional, and sexual) in women undergoing breast reconstruction following explantation at the Dr. Carlos J. Bello Hospital (July 2024 – July 2025). Methods: This was a quantitative, descriptive-comparative study; the statistical analysis and the nature of the results corresponded to a longitudinal mean comparison design (pre-post). The study was conducted with a non-probabilistic sample of women over 18 years of age. Using validated scales and SPSS software, variables of well-being and satisfaction were analyzed, applying inferential statistical tests to determine significant differences. Results: In the sample (n=23), implant rupture (78.26 %) was the primary cause of explantation, frequently linked to the PIP brand (17.4 %) and prolonged use (15–20 years). A relevant information gap was detected, as 40 % of patients were unaware of their prosthesis brand. Nevertheless, reconstruction demonstrated overwhelming efficacy: aesthetic satisfaction rose significantly from 34.78 % to 91.30 % (T=5.62). Furthermore, physical and emotional well-being improved by more than 95 %. Sexual function showed percentage increases, although without statistically significant changes. Conclusions: Post-explant reconstruction constitutes a comprehensive restorative intervention that effectively restores body image and biopsychosocial balance, reversing the impact of medical complications. Although the response in the sexual dimension is moderate, the notable increase in general and emotional satisfaction validates the success of the surgical protocol and its relevance in patient recovery.