What is an 'Oncoplastic' Procedure?

Hi, I'm an expert in oncoplastic breast reconstruction, and use the term to mean reconstruction of a breast, specifically and only in the setting of breast conservation. I don't use the term when referring to post mastectomy reconstruction.There are many different techniques that exist, however the over-riding goal of the operation is to allow a 'lumpectomy' to be performed, while at the same time rearranging breast tissue to assure that there is no deformity after healing and radiation. The reason oncoplastic reconstruction is necessary is that even small lumpectomies can and do result in deformities.  Often, these patients will be advised to have mastectomies instead to avoid this deformity.  If an oncoplastic technique is used, even large lumpectomies can be performed, and often can yield a breast that is more youthful and shapely than before surgery!  In my practice, I routinely offer and perform surgery on the opposite breast at the same time, so that the final result will be symmetric.

Oncoplastic reconstruction is just saying that breast reconstruction is done along with a mastectomy. Make sure a plastic surgeon is involved in the reconstruction. In fact, I would strongly advise you insist on it.

is easiest to understand oncoplastic surgery as a mind set, or way of approaching the treatment of breast cancer. At its simplest level, oncologic surgery describes the approach to eradicating the cancer, and plastic surgery describes the manipulation of tissues or use of foreign materials such as implants to reconstruct the area treated for the cancer.  Combining these two approaches, oncoplastic surgery is how the surgeon uses the techniques of both specialties to remove the cancer and leave the most natural appearing reconstruction behind.  For example, rather than simply doing a lumpectomy and conserving the natural breast, the oncoplastic approach might remove the tumor and perform a lift or reduction at the same time, to enhance the appearance of the breast...