Lumpectomy Reconstruction Options.
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Doctor Answers 3
Lumpectomy Reconstruction Options
You describe a common problem, especially in women who undergo a lumpectomy in the lower pole of a small breast. For contour irregularities after a lumpectomy with radiation, fat grafting is generally the simplest solution. However, the results can be a bit unpredictable, multiple grafts may be required, and it may not correct skin contour irregularities or scars. Larger contour irregularities or extensive skin scarring may require tissue transfer, such as a thoracodorsal perforator flap or latissimus flap. I would not recommend placing an implant in your irradiated breast, as it is unlikely to improve the contour left behind after a lumpectomy and is potentially subject to complications such as capsular contracture (scar tissue around the implant).
Breast reconstruction after lumpectomy/radiation
There are several options for breast reconstruction after lumpectomy and radiation. Release of scar and fat grafting is one option to restore the volume of tissue. If there is significant tissue loss, then reconstruction with tissue expander converted to implants is an option depending on the status of the radiated tissues. Recommend an evaluation by a board certified plastic surgeon. Best, Dr. Yegiyants
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