Tumour-adapted Reduction Mammoplasty - a New (Old) Breast Conserving Strategy: Review

Area of Science:

• Oncology
• Plastic Surgery

Background:

• Over 70% of primary breast carcinoma patients undergo breast conserving surgery.
• Classical semicircular incisions have limitations, often leading to unsatisfactory aesthetic results due to tumor location or size relative to breast size.
• Nipple distortion, breast shape changes, and skin retraction are common issues with traditional techniques.

Approach:

• Review of the "modified B technique" and tumor-adapted reduction mammoplasty/mastopexy.
• Exploration of how these techniques address the limitations of classical incisions.
• Focus on combining oncological safety with cosmetic symmetry.

Key Points:

• The modified B technique and reduction mammoplasty/mastopexy offer improved cosmetic outcomes.
• These approaches are particularly beneficial for unfavorable tumor locations or sizes.
• Successful integration of oncological and aesthetic goals in breast cancer surgery.

Conclusions:

• Traditional breast conserving surgery techniques can result in poor cosmetic outcomes.
• The modified B technique and similar approaches represent a re-embraced, effective strategy.
• These methods enhance patient satisfaction by achieving symmetrical, satisfactory cosmetic results alongside oncological treatment.