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Review
. 2024 Aug 12;13(16):4718.
doi: 10.3390/jcm13164718.

Breast Reconstruction: The Oncoplastic Approach

Vincenzo Vindigni  1 , Francesco Marena  1 , Chiara Zanettin  1 , Franco Bassetto  1
Affiliations
Review

Breast Reconstruction: The Oncoplastic Approach

Vincenzo Vindigni et al. J Clin Med. .

Abstract

Breast reconstruction surgery is continualladvancing, significantly enhancing patient well-being. Current surgical techniques prioritize minimizing donor site morbidity while achieving a more natural breast appearance. Increasing patient preferences for avoiding prosthetic materials in reconstruction, along with advancements in oncological safety and heightened aesthetic expectations, are driving the exploration and development of innovative approaches. Today's reconstructive options range from straightforward oncoplastic glandular remodeling to intricate microsurgical procedures. This narrative review, titled "Breast reconstruction: the oncoplastic approach," provides a comprehensive overview of contemporary trends in breast-conserving treatment. It evaluates the indications for these techniques and offers guidance to plastic surgeons in crafting personalized treatment plans. This approach presents a valuable single-stage alternative or adjunct to traditional prosthetic or microsurgical reconstruction methods.

Keywords: autologous reconstruction; breast conservation surgery; breast reconstruction; oncoplasty.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Recommendation for oncoplastic reconstruction based on the quadrant(s) involved. Scheme representing our proposal of a reconstructive algorithm focused on the disease location after a literature review and our experience [46,47].
Figure 2
Figure 2
Oncoplastic reduction mammoplasty. (a) Preoperative assessment and measurements; (b) four-month postoperative evaluation; (c) intraoperative lumpectomy from the mastoplasty incision with preservation of the superior pedicle. Property of the Plastic Surgery Unit, Azienda Ospedaliera University of Padova, reproduced with permission.
Figure 3
Figure 3
Delayed buried LICAP flap after right quadrantectomy with implant followed by radiotherapy. Contralateral mastopexy was performed. Preoperative assessment from front (a) and lateral view (b). Six months postoperative (c,d). Property of the Plastic Surgery Unit, Azienda Ospedaliera University of Padova, reproduced with permission.
Figure 4
Figure 4
Breast reconstruction algorithm with the oncoplastic approach. Charts presenting a practical guidance for oncoplastic techniques according to the tumor/breast ratio and their indications based on the literature [2,26,46].
See this image and copyright information in PMC

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