Oncoplastic Breast Resection with Simultaneous Mastopexy 

Oncoplastic Breast-Conserving Surgery with Simultaneous Mastopexy

Oncoplastic breast surgery combines cancer removal with immediate reshaping of the breast in a single operation. During breast-conserving treatment, removal of a significant amount of tissue without reconstruction may result in contour deformities, volume loss, asymmetry, or displacement of the nipple–areola complex.

Oncoplastic techniques address these issues by redistributing the remaining breast tissue and simultaneously performing a breast lift, while maintaining oncologic safety and achieving clear surgical margins.

Who Is a Candidate?

Oncoplastic breast-conserving surgery may be considered for patients who have:

• A relatively large tumor in relation to breast volume
• Tumors located in the lower quadrants of the breast, where tissue removal is most likely to cause visible deformity
• Large or ptotic breasts with sufficient tissue available for reshaping
• A desire to preserve the breast while maintaining an acceptable cosmetic outcome

Oncoplastic Techniques

Reduction Pattern Oncoplasty

This technique is particularly suitable for patients with large, ptotic breasts.

The tumor is removed together with a planned segment of breast tissue incorporated into a breast reduction pattern. The remaining tissue is reshaped, reducing breast volume and lifting the breast simultaneously.

To achieve better symmetry, a reduction or mastopexy procedure on the opposite breast is often performed during the same operation.

Rotational Oncoplasty

In patients with moderate defects who do not require breast reduction, the remaining glandular tissue can be mobilized and rotated into the defect.

This method fills the excision cavity using neighboring tissue while preserving overall breast size.

Oncoplasty Combined with a Regional Perforator Flap

When a large volume of tissue has been removed and the remaining breast tissue is insufficient to restore breast shape, reconstruction can be supplemented with a regional perforator flap, such as a LICAP or AICAP flap harvested from the chest wall.

This approach provides additional volume without sacrificing major muscles.

Recovery

Hospitalization typically lasts two to four days.

Most patients return to their usual activities within two to three weeks.

Heavy lifting and strenuous activity involving the chest should be avoided for approximately four weeks.

The final breast shape gradually develops over three to six months and may continue to improve following completion of radiotherapy.

Contraindications

Oncoplastic breast-conserving surgery may be less suitable in the following situations:

• Small breast volume combined with the need for extensive tissue removal
• Multicentric breast cancer involving several separate areas of the breast
• Extensive skin involvement by the tumor

The decision is made jointly by the breast surgeon and the oncologist after comprehensive evaluation.

Frequently Asked Questions

Will Mastopexy Make It More Difficult to Detect Cancer Recurrence?

No.

Rearrangement of breast tissue does not interfere with clinical examination, mammography, MRI, or follow-up imaging studies.

It is important that the radiation oncologist receives detailed information regarding the surgical procedure to optimize postoperative radiotherapy planning.

Can the Nipple Be Preserved?

In many cases, yes.

Preservation of the nipple–areola complex is possible provided that the tumor does not involve or extend close to this region. The final decision is made by the oncologic surgeon based on imaging and pathological assessment.

Will the Breasts Be Symmetrical?

Achieving symmetry is one of the principal goals of oncoplastic surgery.

Procedures on the opposite breast, including reduction mammoplasty or mastopexy, are frequently performed during the same operation to improve balance and appearance.

Will the Scars Be Noticeable?

Scars follow the standard patterns used in mastopexy and breast reduction surgery, typically around the areola and vertically toward the inframammary fold.

Over time, they usually fade and become significantly less noticeable.

Book a Consultation

Book a consultation to discuss whether breast-conserving surgery combined with oncoplastic reconstruction is appropriate for your individual case. The surgeon and oncologist will evaluate your condition and develop a personalized treatment plan.