Round Block Technique

  • Fábio Bagnoli
  • Guilherme Novita
  • Vicente Renato Bagnoli
  • Vilmar Marques Oliveira


Conservative surgery followed by radiation therapy is considered the method of choice for the treatment of breast cancer. In some cases, even though conservative surgery adequately treats cancer, it results in breast mutilation levels whose deleterious esthetic effects are very important, and thus, the partial reconstruction of the breast, also called oncoplasty gains space. The Round Block periareolar technique was reported in 1988 by Benelli (Rev Fr Chir Esthet 13:7–11, 1988) and differed from the periareolar mammoplasty techniques used until then, since with certain details of the new technique, the indications for periareolar mammoplasty were no longer limited to small volume breasts and those with a small degree of ptosis. Another advantage of the new technique was the lower incidence of enlargement and distortion of the scar caused by suture tension. With the development of oncoplastic surgery, periareolar techniques gained space in breast oncologic and repair treatment. A combination of techniques enabled access to tumors in different topographies in addition to breast remodeling, correction of ptosis, and breast hypertrophy.

Supplementary material

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Video 28.2

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Fábio Bagnoli
    • 1
    • 2
  • Guilherme Novita
    • 3
  • Vicente Renato Bagnoli
    • 4
  • Vilmar Marques Oliveira
    • 1
    • 2
  1. 1.Breast Unit, Gynecology and Obstetric DepartamentSanta Casa de Misericórdia de São PauloSão PauloBrazil
  2. 2.Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP)São PauloBrazil
  3. 3.Breast Unit, Paulistano HospitalSão PauloBrazil
  4. 4.Gynecology DepartamentFaculdade de Medicina da Universidade de São Paulo (USP)São PauloBrazil

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