Neoareolar wise pattern reduction in patients requiring central partial mastectomy.

Area of Science:

• Oncoplastic Surgery
• Breast Cancer Treatment
• Plastic Surgery

Background:

• Oncoplastic surgery combines cancer resection with tissue transfer for breast cosmesis.
• Novel techniques enable larger resections with clear margins, minimizing cosmetic deformity.
• Central and retroareolar breast cancers pose cosmetic challenges due to potential deformities after central tissue removal.

Purpose of the Study:

• To present a novel oncoplastic technique for central breast cancers.
• To demonstrate a method for preserving breast cosmesis during cancer surgery.
• To offer a solution for the cosmetic challenges of central breast cancer resection.

Main Methods:

• An inferior pedicle Wise pattern reduction mammoplasty is performed.
• The nipple-areolar complex (NAC) is removed with the tumor, with potential partial preservation.
• A neoareola is created from a superior skin disc, replacing the removed NAC after standard reduction.

Main Results:

• The technique demonstrates feasibility in preserving breast shape and contour.
• A substitute for the NAC is successfully created.
• The procedure allows for oncologically sound resection and simultaneous cosmetic preservation.

Conclusions:

• Complex reduction techniques are viable for breast conservation surgery.
• Neoareolar Wise pattern reduction mammoplasty is an effective option for central breast cancers.
• This technique achieves oncologically sound surgery while maintaining breast aesthetics.