Critical Analysis of Reduction Mammaplasty Techniques in Combination with Conservative Breast Surgery for Early Breast Cancer Treatment

Abstract

Reduction mammaplasty is a consistent technique for reconstruction following breast-conserving surgery. Complications are more often observed in the reconstructed breast, and obese patients and smokers are higher risk patients.

Oncoplastic reduction using the vertical scar superior-medial pedicle pattern technique for immediate partial breast reconstruction

“…[10][11][12][13][14][15][16][17][18][19][20][21][22][23] Furthermore, removal of additional breast tissue through reduction techniques allows examination of contralateral breast tissue for occult breast lesions and theoretically makes sense in terms of reducing the risk of breast cancer.…”

“…[15][16][17][18][19][20][21][22][23] Numerous surgical techniques for oncologic breast reduction have been described in the literature, and many of them have variably overlapping technical details, all of which can cause some confusion when evaluating and comparing the published results. [15][16][17][18][19][20][21][22][23] Our objective was to describe our experience with the vertical scar superior-medial pedicle reduction pattern approach for immediate oncoplastic reconstruction surgery on BCT deformities. The indications, advantages and limitations of the technique are discussed, and the simplicity of a single reduction technique for accommodating the different breast tumour regions is emphasized.…”

“…Although macromastia has been considered a contraindication for BCT owing to difficulties in administering radiation therapy at the surgical site, it has become standard procedure for a select group of patients with both breast cancer and breast hypertrophy. [15][16][17][18][19][20][21][22][23] The combination of a tumour resection in a reduction pattern with a contralateral breast reduction was first developed in the late 1980s and has been reported by many authors. [15][16][17][18][19][20][21][22][23] An increasing number of reports have stated that bilateral breast reduction in conjunction with tumour-directed breast-conserving therapy is a surgical technique that can potentially improve the effectiveness of radiation therapy, alleviate neuropathic symptoms that may accompany macromastia and enhance the patients' perceptions of their bodies after surgery.…”

“…[15][16][17][18][19][20][21][22][23] The combination of a tumour resection in a reduction pattern with a contralateral breast reduction was first developed in the late 1980s and has been reported by many authors. [15][16][17][18][19][20][21][22][23] An increasing number of reports have stated that bilateral breast reduction in conjunction with tumour-directed breast-conserving therapy is a surgical technique that can potentially improve the effectiveness of radiation therapy, alleviate neuropathic symptoms that may accompany macromastia and enhance the patients' perceptions of their bodies after surgery. [15][16][17][18][19][20][21][22][23] Numerous surgical techniques for oncologic breast reduction have been described in the literature, and many of them have variably overlapping technical details, all of which can cause some confusion when evaluating and comparing the published results.…”

“…[15][16][17][18][19][20][21][22][23] An increasing number of reports have stated that bilateral breast reduction in conjunction with tumour-directed breast-conserving therapy is a surgical technique that can potentially improve the effectiveness of radiation therapy, alleviate neuropathic symptoms that may accompany macromastia and enhance the patients' perceptions of their bodies after surgery. [15][16][17][18][19][20][21][22][23] Numerous surgical techniques for oncologic breast reduction have been described in the literature, and many of them have variably overlapping technical details, all of which can cause some confusion when evaluating and comparing the published results. [15][16][17][18][19][20][21][22][23] Our objective was to describe our experience with the vertical scar superior-medial pedicle reduction pattern approach for immediate oncoplastic reconstruction surgery on BCT deformities.…”