Subscribe to RSS

DOI: 10.1055/a-2705-4640
Application of the Lalonde (Horizontal-Only Scar) Technique Reduction Mammoplasty in Oncoplastic Breast-Conserving Surgery for Asian Patients: A Case Report
Authors
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/)
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Clough KB, Lewis JS, Couturaud B, Fitoussi A, Nos C, Falcou MC. Oncoplastic techniques allow extensive resections for breast-conserving therapy of breast carcinomas. Ann Surg 2003; 237 (01) 26-34
- 2 Chatterjee A, Gass J, Patel K. et al. A Consensus Definition and Classification System of Oncoplastic Surgery Developed by the American Society of Breast Surgeons. Ann Surg Oncol 2019; 26 (11) 3436-3444
- 3 Macmillan RD, James R, Gale KL, McCulley SJ. Therapeutic mammaplasty. J Surg Oncol 2014; 110 (01) 90-95
- 4 Lalonde DH, Lalonde J, French R. The no vertical scar breast reduction: a minor variation that allows to remove vertical scar portion of the inferior pedicle wise pattern T scar. Aesthetic Plast Surg 2003; 27 (05) 335-344
- 5 Martineau J, Tekdogan B, Lam GT. et al. Oncological and surgical outcomes of oncoplastic reduction mammoplasty: A single-centre retrospective study. In Vivo 2024; 38 (06) 2820-2826
- 6 Hossino D, Silverstein MJ, Savalia N, Jayich M, Khan S. Extreme oncoplasty: Oncologically safe when compared with mastectomy. Ann Surg Oncol 2024; 31 (11) 7284-7288
- 7 Millen JC, Sibia U, Jackson K. et al. Comparing costs: Does extreme oncoplastic breast-conserving surgery confer a cost benefit when compared with mastectomy and reconstruction?. Ann Surg Oncol 2024; 31 (11) 7463-7470
- 8 Kim M, Tadros AB, Boe LA. et al. Breast-conserving therapy versus postmastectomy breast reconstruction: Propensity score-matched analysis. Ann Surg Oncol 2024; 31 (12) 8030-8039
- 9 Venardi A, Newsom KD, DeBrock W. et al. The no-vertical scar technique for oncoplastic breast reconstruction. J Plast Reconstr Aesthet Surg 2023; 76: 136-141
- 10 Weiner DL, Aiache AE, Silver L, Tittiranonda T. A single dermal pedicle for nipple transposition in subcutaneous mastectomy, reduction mammaplasty, or mastopexy. Plast Reconstr Surg 1973; 51 (02) 115-120
- 11 Georgiade NG, Serafin D, Morris R, Georgiade G. Reduction mammaplasty utilizing an inferior pedicle nipple-areolar flap. Ann Plast Surg 1979; 3 (03) 211-218
- 12 Balch CR. The central mound technique for reduction mammaplasty. Plast Reconstr Surg 1981; 67 (03) 305-311