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Semin Plast Surg 2015; 29(02): 102-109
DOI: 10.1055/s-0035-1549051
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Reduction and Mastopexy Techniques for Optimal Results in Oncoplastic Breast Reconstruction

Jessica F. Rose
1   Division of Plastic Surgery, Department of Surgery, The Methodist Hospital, Houston, Texas
,
Jessica Suarez Colen
2   Division of Surgery, Department of Surgical Oncology, The University of Texas, Houston, Texas
,
Warren A. Ellsworth IV
1   Division of Plastic Surgery, Department of Surgery, The Methodist Hospital, Houston, Texas
› Author Affiliations
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Publication History

Publication Date:
16 April 2015 (online)

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Abstract

Breast conservation therapy has emerged as an important option for select cancer patients as survival rates are similar to those after mastectomy. Large tumor size and the effect of radiation create cosmetic deformities in the shape of the breast after lumpectomy alone. Volume loss, nipple displacement, and asymmetry of the contralateral breast are just a few concerns. Reconstruction of lumpectomy defects with local tissue rearrangement in concert with reduction and mastopexy techniques have allowed for outstanding aesthetic results. In patients who have a reasonable tumor- to breast-size ratio, this oncoplastic surgery can successfully treat the patient's cancer while often improving upon preoperative breast shape. Specific surgical guidelines in reduction and mastopexy help achieve predictable aesthetic results, despite the effects of radiation, and can allow for a single surgical procedure for cancer removal, reconstruction, and contralateral symmetry in one stage.

Keywords

oncoplastic surgery - breast reconstruction - breast cancer - breast conservation therapy
 

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