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Related Experiment Video

Updated: Apr 26, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Oncoplastic breast surgery: indications, techniques and perspectives.

Alexandre Mendonça Munhoz1, Eduardo Montag1, Rolf Gemperli1

  • 11 Plastic Surgery Division, Hospital Sírio-Libanês, São Paulo/ Brazil ; 2 Breast Reconstruction Group, University of São Paulo School of Medicine, Brazil ; 3 Division of Plastic Surgery, University of São Paulo School of Medicine, Brazil.

Gland Surgery
|August 2, 2014
PubMed
Summary

Oncoplastic techniques enhance breast-conservation surgery (BCS) outcomes by improving aesthetics and quality of life. Immediate reconstruction offers advantages like wider tumor excision and reduced margin involvement for early breast cancer patients.

Keywords:
Breast reconstructioncomplicationsconservative breast surgerylocal flapsoncoplasticoutcomepartial mastectomyreduction mammaplasty

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Area of Science:

  • Oncology
  • Plastic Surgery
  • Breast Surgery

Background:

  • Breast-conservation surgery (BCS) is a standard treatment for early breast cancer.
  • Advances in oncoplastic techniques improve aesthetic outcomes and quality of life post-BCS.
  • While primary closure is common, unpredictable aesthetic results can occur.

Purpose of the Study:

  • To present an algorithm for immediate breast reconstruction following BCS based on a 15-year experience.
  • To highlight the benefits of oncoplastic reconstruction in improving aesthetic results and oncologic safety.
  • To emphasize personalized surgical planning for optimal patient outcomes.

Main Methods:

  • Review of 15-year experience with oncoplastic breast reconstruction techniques.
  • Development of an algorithm for immediate BCS reconstruction based on breast volume, defect size, and location.
  • Categorization of oncoplastic procedures into volume displacement and replacement techniques (local flaps, latissimus dorsi flap, reduction mammaplasty/masthopexy).

Main Results:

  • Immediate oncoplastic reconstruction allows for wider tumor excision and potentially reduces margin involvement.
  • Oncoplastic techniques, including local flaps and reduction mammaplasty, can effectively manage BCS defects.
  • An algorithm based on breast volume and defect characteristics guides immediate reconstruction choices.

Conclusions:

  • Oncoplastic reconstruction is a valuable adjunct to BCS, offering improved aesthetic results and oncologic safety.
  • Immediate reconstruction provides a smooth surgical process and allows for more comprehensive tumor removal.
  • Personalized surgical planning, considering patient preferences and reconstructive needs, is crucial for successful outcomes.