Innovative combination of therapeutic mammoplasty and expandable-implant breast augmentation for immediate partial breast reconstruction

Choo, Amanda Min Hui; Forouhi, Parto; Malata, Charles M.

doi:10.1016/j.ijscr.2016.04.031

Cited by 5 publications

(6 citation statements)

References 15 publications

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“…The Wise pattern was the most common skin excision technique because of its versatility in allowing use of different dermoglandular pedicles (17). Additionally, for large breasts, as were most of the breasts in our study (median cup size: 36G), it facilitates generous tissue and skin excision resulting in a better aesthetic outcome (18). TM requires that the surgeon is well versed in all breast reduction techniques.…”

Section: Discussionmentioning

confidence: 83%

Assessment of breast symmetry in breast cancer patients undergoing therapeutic mammaplasty using the Breast Cancer Conservation Therapy cosmetic results software (BCCT.core)

et al. 2019

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Background: Therapeutic mammaplasty (TM) is a standard oncoplastic technique utilising aesthetic breast reduction principles to facilitate tumour resection and breast reshaping. Simultaneous contralateral mammaplasties are often performed to maintain symmetry. BCCT.core software, which principally assesses breast symmetry, has been previously employed for evaluating cosmetic results after standard breast conservation therapy and latterly TMs for upper pole tumours. The purpose of this study was to validate this novel tool for TMs in all breast zones.Methods: Standardised photographs of 20 consecutive patients who underwent TM were evaluated for symmetry using BCCT.core versus a plastic surgical panel completing a visual analogue scale. Results were rated as (excellent/good/fair/poor). Outcomes between the two methods were compared.Results: Twenty patients aged 37 to 63 years with a median 36G bra size had 22 TMs (18 unilateral, 2 bilateral). Indications were invasive breast cancer (87%) and ductal carcinoma in situ (DCIS) (13%). The median (range) tumour size was 22.5 mm (6-90 mm) with a resection weight of 245.8 g (16-1,079 g).Primary nipple pedicles were superomedial (63%), inferior (21%) and superolateral (16%). Five patients required a secondary glandular pedicle for volume redistribution to maintain breast shape. The BCCT.core software vs. panel symmetry assessments were 37% vs. 39% (excellent), 63% vs. 50% (good) and 0% vs. 11% (fair). Wilcoxon matched-pairs sign rank tests and Spearman rank correlations found the pairings to be statistically significant (P<0.05).Conclusions: Despite small patient numbers, BCCT.core gave comparable findings with the panel and is thus useful for objectively assessing cosmesis of TMs in all breast zones.

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Section: Discussionmentioning

confidence: 83%

Assessment of breast symmetry in breast cancer patients undergoing therapeutic mammaplasty using the Breast Cancer Conservation Therapy cosmetic results software (BCCT.core)

et al. 2019

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“…Breast conservation therapy and mastectomy are both viable options with similar survival benefits, but the individual preference of patients should be integrated into treatment decisions when deciding between the two 34 . Oncoplastic-augmentation-mastopexy is an oncoplastic surgical option developed for patients with previous breast augmentation or small breast volume who choose to preserve their breast size and avoid mastectomy by opting for BCT, while also avoiding a second operation by going directly to implants 28–30,35,36 …”

Section: Discussionmentioning

confidence: 99%

“…34 Oncoplastic-augmentation-mastopexy is an oncoplastic surgical option developed for patients with previous breast augmentation or small breast volume who choose to preserve their breast size and avoid mastectomy by opting for BCT, while also avoiding a second operation by going directly to implants. [28][29][30]35,36 Capsular contracture is one of the most common complications after the placement of a breast implant. 37 This complication is hypothesized to be due to a local inflammatory response resulting in excessive fibrotic foreign body reaction to the implant.…”

Section: Discussionmentioning

confidence: 99%

Oncoplastic Augmentation Mastopexy in Breast Conservation Therapy

et al. 2023

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Background Oncoplastic techniques, in conjunction with lumpectomy and adjuvant radiotherapy, have been demonstrated to achieve good aesthetic results and cancer outcomes in the treatment of patients with macromastia or significant ptosis. This study evaluated a series of patients undergoing breast conservation with concomitant oncoplastic-augmentation-mastopexy and a contralateral augmentation-mastopexy. Methods Patients undergoing lumpectomy for breast conservation were identified via a retrospective chart review. Inclusion criteria included patients with ptosis and preexisting breast implants or insufficient breast volume undergoing oncoplastic implant placement/exchange and mastopexy. Demographic characteristics, operative details, and complications were assessed. Results Thirty-four consecutive patients (64 breasts, 4 unilateral procedures) were included in the study. Average age was 51.4 years, average body mass index was 27, and 38.2% were smokers/former smokers. The average operative time was 2.5 hours. Furthermore, 38.2% of patients received chemotherapy, and 82.4% of patients received breast adjuvant radiotherapy. The average length of follow-up was 11.7 months. In the sample that received radiation, the capsular contracture rate was 25%, with a 7.1% contracture revision rate. For the entire group, a total of 8 patients (23.5%) underwent revisions for either positive margins (8.8%), capsular contracture (8.8%), implant loss (2.9%), or cosmetic concerns (2.9%). One patient developed a pulmonary embolism. Conclusions Oncoplastic-augmentation-mastopexy is a safe technique with acceptable complication rates. This technique is best used for breast cancer patients with breast ptosis and a paucity of breast volume or preexisting implants who wish to pursue breast-conserving therapy. The revision rates are acceptable compared with single-stage cosmetic augmentation procedures as well as other oncoplastic techniques described in the literature, but patients must be clearly counseled on contracture risk.

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“…Therapeutic mammoplasty often results in smaller than normal breasts therefore patients may choose to undergo breast augmentation in the same setting. [17] …”

Section: Discussionmentioning

confidence: 99%

Skin reducing nipple sparing mastectomy with immediate breast reconstruction for huge borderline phyllodes tumor of the breast: Case report

Vohra¹,

Hamid²,

Idrees³

2023

International Journal of Surgery Case Reports

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Innovative combination of therapeutic mammoplasty and expandable-implant breast augmentation for immediate partial breast reconstruction

Abstract: HighlightsAn “augmentation-therapeutic mastopexy” for invasive tubular carcinoma is described.It is a rare technique to optimise symmetry of prosthetic reconstruction.It enlarges and reshapes the breast while adequately treating ipsilateral cancer.

Cited by 5 publications

References 15 publications

Assessment of breast symmetry in breast cancer patients undergoing therapeutic mammaplasty using the Breast Cancer Conservation Therapy cosmetic results software (BCCT.core)

Assessment of breast symmetry in breast cancer patients undergoing therapeutic mammaplasty using the Breast Cancer Conservation Therapy cosmetic results software (BCCT.core)

Oncoplastic Augmentation Mastopexy in Breast Conservation Therapy

Skin reducing nipple sparing mastectomy with immediate breast reconstruction for huge borderline phyllodes tumor of the breast: Case report

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