Oncoplastic surgery is breast reconstruction performed at the same time as a lumpectomy.
In many cases, a lumpectomy can leave a significant breast deformity. This deformity is often made worse by the radiation therapy that typically follows a lumpectomy.
During an oncoplastic procedure, the lumpectomy tissue is removed in a way that allows the plastic surgeon to perform a simultaneous breast reduction or lift. This avoids unwanted cosmetic deformities and simultaneously creates the most cosmetic result possible.
Most patients usually also need a breast reduction or lift of the other breast to achieve the closest breast symmetry. This is usually performed at the same time as the oncoplastic surgery.
Good candidates for oncoplastic breast surgery include:
- larger breasted patients
- patients who have tumors located away from the nipple/areola
- patients who have only one tumor. (Patients who have more than one cancer in different parts of the breast, known as "multi-centric disease", are not good candidates)
Patients with small breasts (A or B cup) are not usually candidates for oncoplastic surgery as they typically do not have enough breast tissue left behind after the lumpectomy to rearrange into a cosmetically appearing breast. Correcting the lumpectomy defect in an acceptable way can be impossible in small breasted patients. These women are therefore often better served by a mastectomy and immediate breast reconstruction for the best cosmetic results.
As with breast reconstruction after a mastectomy, oncoplastic surgery is usually best performed by a breast surgeon-plastic surgeon team experienced in these procedures.
To learn if you are a candidate, or to schedule a consultation, please contact us here or call us at (800) 692-5565.