Our Summary

This research paper discusses the limitations of standard methods used to remove breast tumors while trying to maintain the appearance of the breast. Often, these methods fail to completely remove the tumor or impact the aesthetics of the breast negatively. However, a new method called oncoplastic breast reconstruction addresses these issues. It can be used even on women who don’t meet the traditional criteria for breast conservation. This technique can effectively remove tumors from any area of the breast while maintaining or even improving the appearance of the breast. It also reduces deformities that can occur after radiation treatment and helps ensure both breasts are symmetrical.

FAQs

  1. What is oncoplastic breast reconstruction and how does it address limitations of standard breast conserving techniques?
  2. Can oncoplastic breast reconstruction techniques be used to resect tumors from any quadrant of the breast?
  3. How does oncoplastic breast reconstruction contribute to maintaining or improving breast cosmesis and symmetry?

Doctor’s Tip

One helpful tip a doctor might tell a patient about breast reconstruction is to discuss the various oncoplastic techniques available to achieve tumor removal with adequate margins while preserving breast cosmesis. This can help improve post-surgery outcomes and provide better breast symmetry.

Suitable For

Patients who are typically recommended for breast reconstruction include those who have undergone mastectomy for breast cancer, those who have a high risk of developing breast cancer due to genetic factors, and those who have experienced trauma or deformities of the breast. Additionally, patients who have undergone lumpectomy or breast conserving surgery may also be candidates for oncoplastic breast reconstruction to improve cosmesis and symmetry.

Timeline

Before breast reconstruction, a patient typically undergoes a mastectomy or lumpectomy to remove the cancerous tissue. This is often followed by a period of healing and recovery.

After breast reconstruction, the patient may experience some discomfort, swelling, and bruising in the surgical area. They will also have follow-up appointments with their surgeon to monitor their progress and ensure proper healing. Over time, the reconstructed breast will settle and look more natural. The patient may also undergo additional procedures, such as nipple reconstruction or tattooing, to further enhance the appearance of the breast. Overall, breast reconstruction can help improve a patient’s self-esteem and quality of life following breast cancer treatment.

What to Ask Your Doctor

  1. What are my options for breast reconstruction after mastectomy?
  2. What are the risks and potential complications associated with breast reconstruction surgery?
  3. How long is the recovery time after breast reconstruction surgery?
  4. Will I need additional surgeries or procedures after the initial reconstruction?
  5. How will the reconstructed breast look and feel compared to my natural breast?
  6. Will I have sensation in the reconstructed breast?
  7. How will breast reconstruction affect my ability to undergo future screenings for breast cancer?
  8. Will insurance cover the cost of breast reconstruction surgery?
  9. Are there any long-term effects or risks associated with breast reconstruction surgery?
  10. Can you provide me with before and after photos of previous breast reconstruction surgeries you have performed?

Reference

Authors: Savalia NB, Silverstein MJ. Journal: J Surg Oncol. 2016 Jun;113(8):875-82. doi: 10.1002/jso.24212. Epub 2016 Mar 23. PMID: 27004728