Unilateral PMRT following bilateral IBR significantly impacts aesthetic outcomes of both the radiated and nonradiated breasts. Most patients in this cohort required revision procedures, with a higher frequency occurring on the radiated side, though nonsignificant. This highlights the need for thorough preoperative counseling regarding the potential for asymmetry in patients undergoing bilateral IBR with unilateral PMRT and the likelihood of revision procedures. Improved understanding of these outcomes can better guide clinical planning and patient expectations.
Voytik et al. (Wed,) studied this question.