Partial reconstruction may be defined as the immediate regional repairing procedure, which follows the oncoplastic surgery (OP) model of mammary reconstruction and therefore encompasses the topographical symmetry and patient’s quality of life. Extensive impairments after breast-conserving surgery (BCS) not immediately followed by reconstruction usually require further flaps or grafts to accomplish the complete correction, generally provided by the large dorsal muscle or from lipofilling. Moreover, due to radiotherapy, the most likely evolution of deformities is to be accentuated, providing extra difficulties and technical limitations and also increasing the complexity of further corrections. Therefore, esthetic results from late reconstructions are markedly limited, which elucidates the immediate breast reconstruction, even facing BCS. Generally, immediate partial correction may reduce these risks and offer better results encompassing less aggressive techniques.
KeywordsBreast cancer Breast-conserving surgery Partial breast reconstruction Oncoplastic techniques Esthetic outcomes
- 1.Clough KB, Kaufman GJ, Nos C, Buccimazza I, Sarfati IM. Improving breast cancer surgery: a classification quadrante per quadrant atlas for oncoplastic surgery. Ann Surg Oncol. 2010;17:1375–91. Literature review on oncoplastic techniques and indication proposals encompassing the proportion of resected mammary tissue and tumor location. CrossRefGoogle Scholar
- 3.Rainsbury RM, Willet A (Editors). ABS and BAPRAS Oncoplastic breast reconstruction: Guideline for best practice, 2014. European guideline of oncoplastic surgery. Google Scholar
- 5.Waljee JF, Hu ES, Ubel PA, et al. Effect of esthetic outcome after breast-conserving surgery on psychosocial functioning and quality of life. J Clin Oncol. 2008;26:3331–7. Study comparing the asymmetry degree after conservative surgery related to the quality of life in 714 patients from the University of Michigan. Patients with intense asymmetry presented depression symptoms and fear of dying, therefore compromising the quality of life more often than those with discrete or absent asymmetry. CrossRefGoogle Scholar