A Novel Level 1 Oncoplastic Technique for Breast Conserving Surgery: The Rhomboid Rotation Glandular Flap.

Area of Science:

• Surgical Oncology
• Plastic Surgery
• Breast Surgery

Background:

• Standard lumpectomies can lead to cosmetic defects after breast cancer surgery.
• Oncoplastic surgery (OPS) techniques offer improved aesthetic outcomes and wider resection possibilities.
• Level I OPS involves excising less than 20% of breast volume without needing mammoplasty.

Purpose of the Study:

• To present a level-1 rhomboid glandular rotational flap (GRF) technique for breast defect reconstruction.
• To evaluate the efficacy of GRF in treating quadrant defects involving less than 20% breast volume excision.
• To provide guidance on patient selection, surgical technique, and potential complications of the GRF procedure.

Main Methods:

• Description of the rhomboid glandular rotational flap (GRF) as a level-1 OPS technique.
• Application of GRF for defects in any breast quadrant with <20% volume excision.
• Detailed explanation of patient selection criteria and surgical steps.

Main Results:

• The rhomboid GRF technique effectively addresses defects from excision of <20% breast volume in select patients.
• Immediate breast reshaping is achieved, minimizing postoperative defects.
• The technique allows for wider resection possibilities compared to standard lumpectomy.

Conclusions:

• The level-1 rhomboid GRF is a viable oncoplastic technique for specific breast defects.
• This method enhances cosmetic outcomes by enabling immediate breast reshaping.
• Careful patient selection and surgical technique are crucial for successful GRF implementation.