Partial Breast Reconstruction

Abstract

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.