In some patients undergoing breast-conserving surgery, additional procedures may be recommended to prevent severe deformities of the breast.
To avoid significant breast deformity after breast-conserving surgery (wide excision), breast reshaping (mammoplasty) may be performed. This is possible if the patient has sufficient remaining breast volume, and often takes the form of a breast uplift or breast reduction. Excess skin may need to be removed, and the exact scar depends on the size of cancer removed and the patient’s existing breast shape.
The most common scars are illustrated. If a large reduction is needed, and significant asymmetry in breast volume is anticipated, surgery to the opposite breast may be performed to improve final breast symmetry. This may be performed at the same surgery or as a delayed procedure after cancer treatment.
Fatty tissue next to (or below) the breast is used to fill the space in the breast as a result of cancer removal. This maintains breast volume and contour, maintains the nipple position and greatly reduces breast deformity.
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