Oncoplastic Breast Surgery
When a large lumpectomy is required that may leave the breast deformed, reconstruction may be performed in order to restore normal shape. This can be accomplished in many different ways, but most often includes some type of tissue rearrangement, breast lift, or breast reduction. Scars can vary but often involve an incision around the areola, a vertical incision from the nipple to the lower fold of the breast, and a horizontal incision in the fold of the breast. Surgery to the unaffected breast may also be performed to optimize symmetry.
Oncoplastic breast reconstruction after lumpectomy is most commonly performed 1-2 weeks after lumpectomy once routine pathology review is complete. Most surgeries are outpatient in nature and have minimal recovery times. Once recovered from reconstruction, patients then proceed with radiation as planned.
Augmentation of the breast is also an option for improving breast contour and shape deformities after lumpectomy and radiation. This procedure is usually performed after radiation is complete. Although augmentation is an option for some patients, radiation increases risk for impaired healing and capsular contracture, so is usually less preferred to oncoplastic surgery in most settings.