When a large lumpectomy is required that may leave the breast deformed, reconstruction may be performed in order to restore normal shape. This can be accomplished in many different ways, but most often includes some type of tissue rearrangement, breast lift, or breast reduction.
Scars can vary but often involve an incision around the areola, a vertical incision from the nipple to the lower fold of the breast, and a horizontal incision in the fold of the breast. Surgery to the unaffected breast may also be performed to optimize symmetry.
Oncoplastic breast reconstruction after lumpectomy is most commonly performed 1-2 weeks after lumpectomy once routine pathology review is complete. Most surgeries are outpatient in nature and have minimal recovery times. Once recovered from reconstruction, patients then proceed with radiation as planned.
Oncoplastic surgery may require coordination between the breast surgeon and the plastic surgeon to optimize scars and ultimate outcome. Although both surgeons are often not needed in the operating room at the same time, you breast surgeon and plastic surgeon may consult with one another to discuss the best approach to her lumpectomy in order to set you up for the breast reconstruction outcome. To learn more about reconstruction options after lumpectomy, please visit the Reconstruction After Lumpectomy page.