Oncoplastic surgery aims for oncological safety and a good aesthetic result in the same operation. The goal is not only to remove the tumour but to help a woman stay at peace with her own body afterwards.
How is it done?
The tumour is removed with an adequate margin of healthy tissue. The space left is closed by rearranging the breast’s own tissue (tissue shifting, and techniques similar to breast reduction or lifting). If needed, an additional adjustment of the other breast can be made for symmetry.
Who is it suitable for?
- Patients whose tumour is large relative to the breast, so that a standard removal would clearly deform the shape
- Patients whose tumour location carries a risk of indentation around the nipple
- Patients with large or drooping breasts who are planning breast-conserving surgery
What we discuss before surgery
Your breast structure, tumour location, radiotherapy needs and expectations are assessed together. When needed, a joint plan is made with plastic surgery and other specialties.
Risks and points to be aware of
- As with any operation, bleeding, infection and delayed wound healing can occur.
- Because the breast’s own tissue is reshaped, some difference between the two breasts may remain; a second adjustment can be planned if needed.
- If the pathology margin is insufficient, a further operation may be needed.
Follow-up and next steps
When the pathology result is ready, treatment after surgery (radiotherapy, medication) is planned. Wound checks, arm and shoulder exercises and regular imaging follow-up go together.
Contact us without delay if
- Increasing redness, discharge or fever at the wound
- Sudden swelling of the breast or arm
- Shortness of breath or chest pain (go to the emergency department)
Frequently asked questions
Is breast-conserving surgery the same as oncoplastic surgery?
Breast-conserving surgery means the breast is not removed. The oncoplastic approach combines this operation with techniques that give the best aesthetic result.
Is radiotherapy needed after surgery?
When the breast is conserved, radiotherapy is planned in most patients; the decision is made with the oncology team according to the features of the tumour.
