Conclusion
This was the first study evaluating cosmetic results of AFT vs. IBR, using three evaluating panels. Results showed that laymen gave higher scores for the IBR group. No differences were found between the two techniques for the other evaluating groups. Overall scoring was low, and agreement within the groups was low. From these findings, we conclude that breast reconstruction cosmesis is perceived highly variable between individuals, and therefore, we encourage thorough patient counseling before starting reconstruction treatment.