Open Access
CC BY 4.0 · Arch Plast Surg
DOI: 10.1055/a-2705-4640
Case Report

Application of the Lalonde (Horizontal-Only Scar) Technique Reduction Mammoplasty in Oncoplastic Breast-Conserving Surgery for Asian Patients: A Case Report

Authors

  • Ryohei Katsuragi

    1   Department of Breast Surgery, Nakagami Hospital, Okinawa, Japan
    2   Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, University of Toyama, Toyama, Japan
  • Hisamitsu Zaha

    1   Department of Breast Surgery, Nakagami Hospital, Okinawa, Japan
  • Ayako Koki

    1   Department of Breast Surgery, Nakagami Hospital, Okinawa, Japan
  • Norie Abe

    1   Department of Breast Surgery, Nakagami Hospital, Okinawa, Japan

Abstract

Oncoplastic breast-conserving surgery combines oncological resection with plastic surgery techniques, including reduction mammoplasty, to achieve effective cancer control and superior cosmetic outcomes.

Traditional approaches, such as vertical scar mammoplasty and inverted-T mammoplasty, have enabled extensive tumor resection but are often associated with the drawback of vertical scars. The Lalonde technique has been reported in Western patients to allow extensive partial mastectomy without leaving vertical scars. Here, we present the case of a 60-year-old Asian woman with macromastia and breast cancer who underwent reduction mammoplasty using the Lalonde technique. The postoperative outcomes revealed complete tumor resection alongside excellent cosmetic results. This case highlights the potential and possibilities of applying the Lalonde technique to Asian patients with ptotic breasts, and offers a promising and aesthetically superior option as one of the new oncoplastic surgery techniques.

Ethical Approval

This study was approved by the Institutional Review Board of Nakagami Hospital (approval No. 2025-001).


Informed Consent

Informed consent has been obtained from the patient for the use of clinical photographs, medical images, and relevant information from the medical record for academic and publication purposes.




Publication History

Received: 21 January 2025

Accepted: 16 September 2025

Accepted Manuscript online:
22 September 2025

Article published online:
17 January 2026

© 2026. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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