Satisfaction and Quality of Life in Women with Breast Cancer After Breast Reconstructive Surgery in a Tertiary Referral Centre

Breast reconstruction following mastectomy plays a vital role in restoring physical form and psychological well-being in women with breast malignancy. While international studies highlight its impact on quality of life (QoL) and satisfaction, Malaysian data are limited. This study evaluated postoperative QoL and satisfaction among Malaysian women who underwent breast reconstruction using validated tools. It consisted of a two-phase design: a questionnaire validation phase and a cross-sectional analysis. The EORTC QLQ-BRECON23 was translated into Bahasa Malaysia and validated for internal consistency. Subsequently, 35 women who underwent immediate or delayed autologous, alloplastic or a combination of breast reconstruction at a tertiary center were recruited. Patient-reported outcomes were assessed using the EORTC QLQ-C30 and QLQ-BRECON23 questionnaires in English or Bahasa Malaysia. Descriptive and non-parametric analyses were performed. Participants reported a high overall QoL (mean global health score 79.5), with emotional functioning scoring highest among QLQ-C30 domains (85.0). Sexual functioning was the most highly rated BRECON23 domain (mean 70.4). No significant differences in Global QoL and satisfaction were observed across reconstruction types. However, higher QoL and sexual functioning scores were reported among patients who underwent immediate reconstruction and those with nipple–areolar complex preservation or reconstruction. Breast reconstruction appears to offer positive postoperative outcomes in terms of satisfaction and QoL, particularly in emotional and sexual well-being. Timing of reconstruction and nipple areolar complex (NAC) preservation may contribute to better outcomes. Shared decision-making, early referral and culturally appropriate education are essential. Larger multicenter studies are needed to confirm these insights.