Breast Reconstruction by Oncoplastic Reconstruction Cases

A hematoma after her biopsy stains the skin in the per-op views. A combined lumpectomy for breast cancer and reconstruction using local flaps and a breast lift result in a pleasing breast shape even after radiation (post-op/post radiation)

Challenging situations arise when called upon to do immediate reconstruction on a lumpectomy defect when the breast is quite large, uneven to start, and the anticipated lumpectomy on the smaller breast will be sizable. However, here a combination of auto-augmentation flaps with breast lift and opposite lift/reduction have both improved symmetry and made her breasts significantly more attractive.

In this case a left breast cancer required excision by a breast surgeon. Combined lumpectomy and immediate reconstruction using breast reduction and auto-augmentation local flap technique allowed for complete reconstruction and a better looking breast!

Oncoplastic-Reconstruction

Another significant challenge is when a cancer is located near the original nipple areola. Thinking “outside the box” allows for an immediate reconstruction combined with lumpectomy by performing a unilateral free nipple graft on the cancer side, reshaping and lifting the breast and replacing the nipple. Shown after radiation, it is a fine outcome to a challenging case.

Autoaugmentation mastopexy (breast lift) means: using all saggy tissue to lift and can simulate an implant look. This case however, was done for breast cancer. rather that mastectomy, she underwent a lumpectomy and I corrected (filled) the defect in the same surgery as the cancer removal with the same principles as “auto-augmentation”: moving her breast tissue around. A great result for oncoplastic reconstruction.

This patient opted for left lumpectomy and reconstruction using local flaps and oncoplastic reconstruction and opposite right breast reduction to match.

An amazing camouflage and great outcome.

This patient presented with right breast cancer and underwent a combined extended lumpectomy (partial mastectomy) and immediate reconstruction with local flaps yielding a breast lift/reduction.  A fine solution for a breast cancer problem.

This patient presented with left breast cancer.  She chose an extensive lumpectomy and immediate reconstruction with local flaps and opposite breast lift/reduction.  She is shown only a month later with a fine cosmetic result.

This patient presented with left breast cancer.  She underwent left partial mastectomy and immediate reconstruction using local flaps along with a right breast reduction.  She is shown after completion of radiation.  A great solution for a cancer operation and a fine result.

This patient presented with breast cancer. She elected to undergo partial mastectomy. I did a local breast flap combined with lift/reduction pattern to simultaneously reconstruct her.