Oncoplastic breast reconstruction: Principles, current techniques, and future directions

J Surg Oncol. 2022 Sep;126(3):450-459. doi: 10.1002/jso.26897. Epub 2022 Apr 22.

Abstract

Oncoplastic breast reconstruction has improved esthetic results after breast-conserving surgery with low complication rates and stable oncologic outcomes. Basic principles can be applied across different volume displacement and replacement techniques including restoration of breast shape and symmetry through esthetic incisions while eliminating dead space. Technique selection is guided by several factors including breast size, resection-to-breast ratio, and patient desires. A surgeon familiar with all techniques will allow individualization of treatment and optimization of outcomes.

Keywords: Breast conserving surgery; Free flap; Lumpectomy; Oncoplastic breast reconstruction.

Publication types

  • Review

MeSH terms

  • Breast
  • Breast Neoplasms* / surgery
  • Esthetics
  • Female
  • Humans
  • Mammaplasty* / methods
  • Mastectomy, Segmental / methods
  • Surgeons*