Oncoplastic Surgery: The Renaissance for Breast Surgery

  • Gail S. Lebovic


We are fortunate to live in a time when breast reconstruction is available. However, there is a growing concern that this important aspect of breast surgery is declining in numbers and fewer women are being offered breast reconstruction when faced with needing or choosing mastectomy. In addition, studies indicate that the rate of mastectomy and prophylactic contralateral mastectomy is increasing. Coupling these two facts together and knowing that studies reveal that less than 20% of mastectomy patients in the United States are undergoing breast reconstruction after mastectomy, it becomes clear that this topic is of extreme importance to breast surgeons throughout the world. The following chapter examines the art and science of breast reconstruction in an historical perspective, with an emphasis on training and rejuvenation of this critically important area of breast surgery for the future.


  1. 1.
    Edwin smith surgical papyrus. 17th Century B.C. Oldest known medical writingsGoogle Scholar
  2. 2.
    Yalom M (1997) History of the breast. Knopf Publishing, New YorkGoogle Scholar
  3. 3.
    Santoni-Rugiu P, Sykes P (2007) A history of plastic surgery. Springer, Berlin, Heidelberg, New YorkGoogle Scholar
  4. 4.
    Schultes J (1655) Armamentarium Chirurgicum. Balthasari, Kuehnen, UlmGoogle Scholar
  5. 5.
    Schultes J (1674) The Chyrurgean. John Starkey, LondonGoogle Scholar
  6. 6.
    Merrill N (2008) Mastectomy through the Ages. The Edge of the American West, July 2008Google Scholar
  7. 7.
    Jemal A, Siegel R, Ward E, Murray T, Xu J, Thun MJ (2007) Cancer statistics, 2007. CA Cancer J Clin 57(1):43–66CrossRefGoogle Scholar
  8. 8.
    Beatty JD, Porter BA (2007) Contrast-enhanced breast magnetic resonance imaging: the surgical perspective. Am J Surg 193(5):600–605; discussion 605CrossRefGoogle Scholar
  9. 9.
    Lehman CD, Gatsonis C, Kuhl CK, Hendrick RE, Pisano ED, Hanna L et al (2007) MRI evaluation of the contralateral breast in women with recently diagnosed breast cancer. N Engl J Med 356(13):1295–1303CrossRefGoogle Scholar
  10. 10.
    Fisher B, Anderson S, Bryant J, Margolese RG, Deutsch M, Fisher ER et al (2002) Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N Engl J Med 347(16):1233–1241CrossRefGoogle Scholar
  11. 11.
    Veronesi U, Cascinelli N, Mariani L, Greco M, Saccozzi R, Luini A et al (2002) Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. N Engl J Med 347(16):1227–1232CrossRefGoogle Scholar
  12. 12.
    Brody GS (2009) Silicone breast implant safety and efficacy. Medscape Reference, May 2009Google Scholar
  13. 13.
    US Food and Drug Administration (FDA) (2009) FDA approves silicone gel-filled breast implants after in-depth evaluation. FDA Web site. April 2009
  14. 14.
    Sharabi SE, Bullocks JM, Dempsey PJ, Singletary SE (2010) The need for breast cancer screening in women undergoing elective breast surgery: an assessment of risk and risk factors for breast cancer in young women. Aesthet Surg J 30(6):821–831CrossRefGoogle Scholar
  15. 15.
    Skillman JM, Humzah MD (2003) The future of breast surgery: a new subspecialty of oncoplastic breast surgeons? Breast 12(3):161–162CrossRefGoogle Scholar
  16. 16.
    Rainsbury RM (2003) Training and skills for breast surgeons in the new millennium. ANZ J Surg 73(7):511–516CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Gail S. Lebovic
    • 1
  1. 1.School of Oncoplastic SurgeryFocal Therapeutics, Inc.SunnyvaleUSA

Personalised recommendations