A woman’s life might drastically alter when she is diagnosed with breast cancer. However, because of improvements in surgical methods, women now have more treatment choices than ever before for breast cancer. Oncoplastic breast surgery, which combines reconstructive and plastic surgery with cancer treatment to remove malignant areas while preserving or enhancing the breast’s attractive look, is one of the most important advances in recent decades.
This novel method has become a potent choice for women who wish to fight cancer while preserving as much of their natural appearance and self-assurance as feasible. In this post, we’ll cover the essential components of oncoplastic breast surgery, how it varies from regular surgery, its procedures, advantages, dangers, and concerns for people contemplating this treatment.
What is Oncoplastic Breast Surgery?
Traditional techniques for breast cancer surgery, which frequently concentrate only on eliminating the tumor without considering the cosmetic result, have given way to oncoplastic breast surgery. Oncoplastic surgery aims to accomplish two primary goals in one procedure: repairing the breast to maximise its look (
plastic surgery) and successfully eliminating malignant tissue (oncologic excision). Oncoplastic surgery combines these two specialities to enable patients to get concurrent cancer therapy and cosmetic improvement.
Either a lumpectomy or a mastectomy might include the operation. A
mastectomy removes all of the breast tissue, while a lumpectomy removes the tumor along with some surrounding tissue. Reconstructive procedures are used right away after the malignancy is removed; they may include employing body transplants or altering the breast tissue that remains. To provide women with physical and psychological comfort from the possible abnormalities sometimes brought on by breast cancer surgery, the aim is to retain breast symmetry, shape, and volume.
How Oncoplastic Surgery Differs from Traditional Methods
The excision of the malignant tumor is the main goal of conventional breast cancer procedures, with little thought given to the final cosmetic result. For example, depending on the location and size of the tumor,
lumpectomies may cause considerable asymmetry, indents, or unequal breasts. In contrast, mastectomies remove the whole breast and, if reconstruction is not done, may leave the patient with a scarred or flat chest.
Oncoplastic surgery addresses the cosmetic issues that frequently accompany standard operations. In addition to removing the tumor or breast tissue, the surgeon rebuilds, realigns, or repositions the breast to make it seem more natural. In many instances, achieving symmetry may also require modifying the opposing breast, a process referred to as bilateral oncoplastic surgery.
Quality of life, body image, and mental well-being are given equal weight with survival and illness control in this approach, which represents a significant advancement in patient care.
Techniques Used in Oncoplastic Breast Surgery
A variety of methods are used in oncoplastic breast surgery to restore the breast’s natural look. Based on the degree of
difficulty involved in the needed operation, these techniques can be divided into level I and level II procedures.
Level I Oncoplastic Surgery
This is a somewhat straightforward procedure that is used with operations like lumpectomies to preserve breast tissue. To preserve the breast’s shape and avoid abnormalities, the remaining breast tissue must be rearranged after the tumor is removed. This usually works well for tiny tumors and leaves the breast shape mostly intact with little scarring.
To ensure that the breast seems genuine after surgery, physicians may furthermore employ glandular rotation or tissue advancement treatments to fill in locations where tissue has been eliminated.
Level II Oncoplastic Surgery
This is frequently utilized in cases when a significant section of the breast has been removed and entails more intricate reconstructions. Level II protocols may consist of:
- Therapeutic mammoplasty: This entails reconstructing the skin and breast tissue following a significant lumpectomy. During this treatment, the surgeon may also choose to lower the size of the breasts, which might be advantageous for ladies with enormous breasts.
- Flap reconstruction: Replaced tissue lost after tumor excision comes from other parts of the body, such as the thighs, abdomen, or back. When significant breast tissue has been removed and more volume has to be replaced, this procedure may be utilized.
Compared to synthetic implants, flap procedures such as the latissimus dorsi flap and TRAM flap (transverse rectus abdominis muscle) produce a more natural-looking breast form and feel. A surgeon may also utilize implants to restore missing tissue, depending on the requirements and desires of the patient.
Benefits of Oncoplastic Breast Surgery
Oncoplastic breast surgery has several advantages, particularly for post-cancer women who wish to keep their sense of self and body following treatment. Among the principal benefits are:
- Improved Aesthetic Outcomes: Oncoplastic techniques, in contrast to typical breast cancer operations, prioritize both cosmetic outcomes and oncological management. Patients can frequently obtain less scarring and retained symmetry, resulting in a more natural-looking breast appearance.
- Single-Stage Surgery: Many women are grateful because oncoplastic surgery eliminates the need for several procedures and recuperation periods by allowing them to undergo breast restoration and tumor excision in a single session.
- Enhanced Psychological Well-being: Studies have indicated that women who have oncoplastic procedures often have lower levels of psychological discomfort, depression, and anxiety than those who have more conventional breast operations. Maintaining the form and look of the breasts may have a significant impact on one’s self-esteem and body image.
- Reduced Risk of Deformities: Oncoplastic procedures considerably minimise the chance of post-surgical malformations, such as indents, concave regions, or obvious asymmetry between the breasts.
Although there are many advantages to oncoplastic breast surgery, patients should be informed of the dangers and difficulties that may arise. Complications from anesthesia responses, bleeding, or infections are possible with any surgical operation. Nonetheless, there are additional particular dangers connected to oncoplastic procedures:
- Longer Surgery and Recovery Time: When reconstructive and oncologic surgery are combined into one treatment, recovery times may be longer than after a typical mastectomy or lumpectomy.
- Higher Skill Requirements: Patients may need to look for doctors with oncoplastic procedure experience since not all breast surgeons are educated in this field. The success of oncoplastic surgery is mostly dependent on the surgeon’s ability; thus, selecting a trained and experienced specialist is essential.
- Potential Need for Additional Surgery: Patients may occasionally require revision surgery to get the desired cosmetic outcome or if issues develop.
- Delayed Reconstruction: If a woman requires further treatments, such as radiation therapy, she might not be able to undertake rapid reconstruction following a mastectomy. Radiation can alter the quality of skin and tissue, which makes restoration more difficult. This can complicate the procedure.
Who is a Candidate for Oncoplastic Surgery?
Although oncoplastic breast surgery is a flexible option, not all patients will benefit from it. Oncoplastic procedures are frequently the best option for women having breast-conserving surgery who have
early-stage breast cancer. Complex reconstructive techniques can also help women who are having a mastectomy, have larger tumors, or have advanced cancer.
When deciding if oncoplastic surgery is right for a patient, several factors must be considered. These include breast size, tumor location, and the need for post-operative treatments like
chemotherapy or radiation. To create a customized treatment plan, a
thorough consultation with plastic and oncologic surgeons is necessary.
Conclusion
Oncoplastic breast surgery helps women fight breast cancer while keeping their appearance. It combines the best parts of plastic and cancer surgery.
This new method helps patients feel normal and confident. It supports their physical healing and improves their mental well-being.
The operation is risky and needs careful planning. However, it offers many women a chance to recover from breast cancer. They can also keep their health and sense of self.