Women's Experienced Well-Being and Satisfaction after Breast Reconstruction: A Mixed-Method Study

Background Breast cancer is the most common malignancy among women in Sweden. Breast reconstruction, recommended after breast-conserving surgery or mastectomy, is chosen by over 30% of patients and aims to improve quality of life beyond restoring appearance. Despite its recognized role in cancer care, evidence on women’s experiences and satisfaction remains limited. This study addresses this gap by exploring perceived well-being and satisfaction following reconstruction. Methods A convergent parallel mixed-methods design was applied. The study was conducted at a university hospital plastic surgery clinic between October 2024 and February 2025. All women (≥ 18 years) who underwent breast reconstruction in 2023 were invited, and 43% of them were included. Quantitative data were collected using the questionnaire Breast-Q and qualitative data were obtained through semi-structured interviews. Results Twenty-six women completed the questionnaire, and twenty participated in interviews. Psychosocial and sexual well-being, as well as breast satisfaction, were generally comparable to normative levels, suggesting a potential “normalizing” effect of reconstruction. Participants frequently described feeling socially secure, feminine, and attractive. However, many reported sexual insecurity, disappointment, and fatigue following surgery. Although overall breast satisfaction was high, asymmetry emerged as a source of dissatisfaction. Physical well-being scored below normative values, often due to functional limitations. Despite predominantly positive outcomes, a pronounced need for improved information and guidance remained. Conclusions Breast reconstruction appears to support psychosocial recovery and body image normalization, yet challenges related to physical limitations and sexual well-being persist. These findings underscore the importance of evidence-based nursing and comprehensive pre- and postoperative counselling. Enhanced patient education and individualized support may improve satisfaction and overall quality of life.