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Chin et al. Plast Aesthet Res 2023;10:52  https://dx.doi.org/10.20517/2347-9264.2023.44  Page 3 of 14

               Table 1. Summary of included articles on breast embodiment
                Author        Assessment methods  Domain(s) Key findings/embodiment definitions
                (year)
                       [53]
                Adams et al.     Literature review   PSYCH  This review article examined the experiences and concerns of women under
                (2011)        17 qualitative studies      the age of 45 diagnosed with breast cancer. Key issues identified included
                              included                    feeling ‘out of sync’ and fear of recurrence. These articles were analyzed
                                                          with a framework of altered embodied subjectivity. Beyond visual changes,
                                                          the participants underscored the feelings of being in an altered body
                       [20]
                Cheng et al.     Qualitative    PSYCH     This study interviewed women who decided to undergo delayed breast
                (2018)        8 semi-structured           reconstruction. Four embodiment themes were highlighted: losing a sense of
                              interviews                  self, living with an altered body, reclaiming the body/self, and rebuilding the
                                                          body/self
                        [19]
                Chuang et al.     Qualitative   PSYCH     This study evaluated perceptions of the body from women diagnosed with
                (2018)        8 interview participants, 20   breast cancer and treated with a mastectomy more than 5 years prior. Main
                              transcripts                 themes from the interviews included abandoning objectification, restoring
                                                          body image, and redefining the self
                      [40]
                Boer et al.   (2015)  Qualitative   PSYCH +   This study interviewed women prior to undergoing breast reconstruction
                              10 women, 26 interviews at  SENS  regarding their expectations of their body post-reconstruction. The women
                              different stages of         were also interviewed after reconstruction. In the analysis, their expectations
                              reconstruction              were categorized as dealing with their “gazed body,” their “capable body,”
                                                          and their “felt body.” After reconstruction, these expectations had to be
                                                          reconfigured and many had to adjust to the unexpected, namely altered
                                                          feeling of the reconstructed breast
                       [52]
                Esplen et al.     Review        PSYCH     This review summarized various body image interventions for women with
                (2020)                                    breast cancer, with a particular focus on online interventions. The authors
                                                          outlined a construct of “embodied body image” in cancer in which body
                                                          image is multifaceted and linked to patients’ early history, self-identity, and
                                                          self-worth
                Graham et al. [60]    Qualitative    PSYCH  This article explored women’s decision processes for risk-reducing
                (2018)        4 semi-structured           mastectomy, highlighting social and political factors that shape the process.
                              interviews, 5 online forums,   The analysis highlights how a sense of “embodied selves” is often gendered
                              3 online newspaper articles  and culturally shaped by conceptions of womanhood and feminity
                   [59]
                Greco   (2015)  Qualitative     PSYCH +   This article examined the 2010 controversy in France regarding the use and
                              12 interviews, analyses of   SENS   eventual recall of silicone breast prostheses. The mixed methods article
                              policy documents of         includes interviews with patients who received these breast implants during
                              French/EU regulatory        post-mastectomy reconstruction. The article analyzed the patients’
                              agencies, medical literature,   experiences of both physical and psychological pain utilizing the concept of
                              and an online forum         “embodied risk,” insofar as the risks derived from prostheses and implants
                                                          are literally embodied by patients
                Hansen et al. [18]    Qualitative    PSYCH    This article assessed women’s experiences of oncoplastic breast surgery and
                (2022)        7 women, 14 interviews      how treatment affected body image. Participants discussed how the
                                                          reconstructed breast restored a sense of normalcy, in particular with
                                                          maintaining interpersonal relationships. The findings were framed by a
                                                          theory of embodiment defined by philosopher Merleau-Ponty, insofar as the
                                                          altered body is an essential part of the subjective being, and time and
                                                          transition are needed before the altered body is integrated into an
                                                          individual's embodiment
                      [21]
                Holmberg   (2014)  Qualitative   PSYCH    This article examined the nature of persistent worry that women may
                              Interviews with 17 first-time   experience after breast cancer treatment, particularly mistrust towards their
                              breast cancer patients, 4   own bodies. The authors described how cancer diagnoses impact a patient’s
                              oncologists, and 10 nurses   sense of embodiment, given these diagnoses are often received before a
                                                          physical sense of illness, therefore leading to an experience of shock. The
                                                          authors conceive of post-treatment worry as an “embodied sense of risk”
                         [17]
                Hopwood et al.     Review       PSYCH     This article offers a novel framework for embodied body image in cancer
                (2019)                                    patients. The approach consists of three dimensions of embodiment: “being
                                                          a body, having a body, using a body.” Applications of the framework were
                                                          illustrated through three case examples of breast cancer patients
                Lende et al. [58]    Qualitative    PSYCH  This article examines the decision-making of African-American women
                (2009)        15 semi-structured          regarding breast cancer screening. The article describes an “embodied
                              interviews                  approach,” which highlights the significance of subjective experience and of
                                                          understanding the body as relational and meaningful
                Lindau et al. [38]    Review    SENS +    This article describes bionic technologies for the restoration of sensation in
                (2020)                          PSYCH     the nipple-areolar complex. The authors highlight that mastectomy often
                                                          leads to numbness of the chest, which can impact sexual well-being and lead
                                                          to the “disembodiment” of the breasts. The authors discuss their sensor
                                                          technologies, which can be placed under the skin of the nipple-areolar
                                                          complex, to detect touches
                Loaring et al.  Qualitative     PSYCH     This study focused on couples' experiences of mastectomy with
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