Reconstruction After Breast Conserving Therapy

IMMEDIATE RECONSTRUCTION DURING BREAST CONSERVING THERAPY – ONCOPLASTIC SURGERY

Oncoplastic Surgery is when reconstruction is performed immediately, during the same procedure as the lumpectomy or partial mastectomy.

Typically, the remaining breast tissue on the breast cancer side gets rearranged and reconstructed to give the breast a natural look and feel. At the same time, the other normal breast is reduced or lifted to match the reconstructed side.  In a selected number of cases the defect can be reconstructed immediately with a small local or regional flap, and then the other breast does not need surgery. If the nipple and areola is removed during breast conserving therapy, it can in most circumstances be reconstructed immediately.

We prefer to complete the reconstruction before radiotherapy treatment. If the reconstruction is done after the breast has been irradiated, there is a higher risk of wound complications due to the effect of radiation on tissue.

DELAYED RECONSTRUCTION AFTER BREAST CONSERVING THERAPY

Reconstructive surgery can take place after breast conservation therapy and breast radiation has taken place. Surgery can be performed minimal invasive by way of fat grafting or reconstructive procedures with own tissue reconstruction or oncoplastic techniques with breast reductions on the other side. In delaying the surgery after radiation treatment has taken place, there is a higher incidence of wound healing problems due to radiation damage to the breast tissue.

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