Table 2.
Likert scale description used for reference during the panel assessment.
| Excellent 5 | Good 4 | Moderate 3 | Poor 2 | Very Poor 1 | ||
|---|---|---|---|---|---|---|
| Shape | The overall shape of the reconstructed breast/s | Shape symmetry out of bra achieved | Shape of operated breast is pleasing but not symmetrical | Moderate difference in shape but does not detract from overall aesthetic result | Moderate focal deficits detracting from overall aesthetic result | Large focal deficits distorting contour significantly detracts from overall aesthetic result |
| Volume | Overall volume symmetry between breasts | Equal volume between breasts | Minor difference in volume | Moderate difference in volume but does not detract from overall aesthetic result | Volume difference impacts overall aesthetic result | Major volume mismatch significantly detracts from overall aesthetic result |
| Nipple Position | Nipple position in relation to the ipsilateral breast | Excellent symmetry between sides and nipple in an ideal position on reconstructed breast mound | Minor adjustments required to achieve excellence in nipple position | Noticeably suboptimal but does not influence overall aesthetic results | Nipple position slightly impacts overall aesthetic result | Nipple position significantly detracts from overall aesthetic result |
| Projection | Patient view of symmetry | Projection is equal | Minor differences in projection | Noticeable difference but not detracting from overall aesthetic result | Slightly impacts overall aesthetic result | Significantly detracts from overall aesthetic result |
| Position of Breast Mound | In relation to chest wall and other breast | Equal to the other side and in an optimal position on chest wall | Minor asymmetry of position or symmetrical but suboptimal position | Asymmetry of position or symmetrical but suboptimal position not detracting from overall aesthetic result | Slightly impacts overall aesthetic result | Significantly detracts from overall aesthetic result |
| Symmetry | Comparison between breasts | Out of bra symmetry achieved | Mild asymmetry | Moderate asymmetry but does not detract from overall aesthetic result | Moderate asymmetry detracting from overall aesthetic result | Significant asymmetry detracting from overall aesthetic result |
| Global | Taking into consideration subscale evaluation what is your overall impression of the quality of the reconstruction | Excellent | Good | Moderate | Poor | Very Poor |