Oncoplastic Reconstruction of Breast

Breast Cancer treatment options have evolved significantly over the years. From extensive, radical surgeries to minimally invasive procedures, the landscape has been completely transformed, with a greater focus on improving patients' quality of life and minimising pain and discomfort during procedures. One of the most significant advancements is breast reconstruction surgery. With the integration of oncological safety and aesthetic principles, breast cancer patients can now achieve complete restoration of the breast after a cancer surgery.

The oncoplastic breast reconstruction surgery is a specialised surgical procedure for breast cancer patients. It merges breast cancer surgery, i.e. Lumpectomy or Mastectomy, with breast reconstruction surgery. The main goal of the surgery is to remove the cancer cells in the breast completely while preserving the pectoral muscles for restoring the original symmetry, shape and size of the breast.

Unlike traditional breast cancer surgeries, in which visible deformities are left, an oncoplastic reconstruction surgery allows the surgeon to reconstruct the breast or regain the original form with the help of breast implants. It thus has cosmetically pleasing outcomes when compared to traditional surgical methods.

Oncoplastic reconstruction surgery is broadly classified into two types: volume displacement and volume replacement.

• Volume Displacement - This is a type of breast reconstruction surgery in which the remaining breast tissues are rearranged to fill the gap after a breast cancer removal surgery. Breast reduction or lift techniques may be used. To maintain symmetry, procedures might be performed on the other breast if needed.
• Volume Replacement - When larger portions of the breast are removed, when rearrangement is not viable, imported tissues, such as flaps or breast implants, are used. This type of oncoplastic reconstruction surgery helps in achieving better cosmetic outcomes for the patient. Tissue flaps from the thigh or abdomen might be considered for the surgery.

The oncoplastic surgery for breast reconstruction is properly planned for clinical evaluation. The procedure must be performed with strict precautions and rigorous attention to sterilising and carefully handling the implants. It is a single-stage procedure, which means the removal of cancer cells and breast reconstruction can be performed at the same time. This saves a lot of time and reduces the burden of having two separate surgeries. 

In general, an oncoplastic breast reconstruction surgery procedure includes the following steps:

1. Tumour removal with the help of clear marking
2. Reshaping or reconstruction of the breast using the preferred breast reconstruction techniques
3. Symmetry adjustments are made in the opposite breast if necessary
4. Drains are placed to avoid fluid accumulation until wounds are healed

The surgery can last longer than the standard duration of breast cancer surgery. This, however, depends on the technique used and the surgeon's proficiency. Some healthcare experts consider shorter surgeries in which correction procedures might be performed at a later stage. It varies from surgeon to surgeon.

Oncoplastic reconstruction of the breast has a wide range of benefits for the patients, both in medical and emotional aspects. Some of the key advantages of the surgery are:

• Complete and safe eradication of cancer from the patient’s body
• Enhanced outcomes for better cosmetic and aesthetic outcomes
• Better results for the symmetry and contour of the breast
• Fewer requirements for additional surgeries
• Improvement in patient self-esteem and less psychological stress
• Improved quality of life after breast cancer treatment

After a health concern like breast cancer, the confidence of many women takes a hit. A reconstruction surgery has helped many women regain their confidence and have emotional reassurance.

Like other surgical procedures, an oncoplastic breast reconstruction surgery also has a few risks and complications. However, with expert guidance, they can be effectively minimised. Some possible risk factors include:

• Chances of infection at the wound site
• Delayed healing
• Scarring or Asymmetry
• Sensations in the breasts
• Fat necrosis or death of the fatty tissues of the breast
• Implant-related complications

The surgical team at Gleneagles Hospital clearly communicates the risk factors with the patients in detail before the procedure. All precautionary measures are taken to minimise the risk of complications.

The recovery duration varies for each patient. It predominantly depends on the extent of surgery and the techniques used. Following all the postoperative measures as suggested by your doctor is necessary to ensure timely healing and prevent any further complications. 

Gleneagles Hospital is a leading medical institution for breast reconstruction surgery. With a high success rate, the hospital ensures that patients receive specialised care from highly experienced surgeons and nursing staff. The multidisciplinary approach and expertise of our doctors make patients' treatment journeys extremely easy and smooth. 

Key highlights of getting an oncoplastic reconstruction breast surgery at Gleneagles Hospital:

• Highly skilled breast and oncology specialists
• State-of-the-art surgical theatres
• Integrated services for radiology and oncology procedures
• Special emphasis on patient safety and comfort

At Gleneagles Hospital, the entire patient journey from diagnosis to recovery is supported by experts to ensure compassionate, precise outcomes.