Oncoplastic Breast Surgery by Dr. Aaron Kearney: Breast Reduction After Lumpectomy

Oncoplastic breast surgery is an advanced surgical approach that combines cancer removal with reconstructive techniques to preserve or enhance the breast’s natural appearance. Among the various oncoplastic techniques, breast reduction following a lumpectomy is an effective option for women seeking a balanced, aesthetically pleasing outcome after breast cancer treatment.

What Is Oncoplastic Breast Surgery?

Oncoplastic breast surgery merges oncologic (cancer-removing) surgery with plastic surgery techniques to minimize cosmetic deformities while maintaining breast shape and symmetry. This approach is particularly beneficial for women undergoing a lumpectomy, where only a portion of the breast is removed. By incorporating breast reduction techniques, surgeons can remove excess tissue, reshape the breast, and improve symmetry, often enhancing the overall breast contour.

Why Choose Breast Reduction After Lumpectomy?

A lumpectomy, while preserving much of the breast, can leave behind contour irregularities, asymmetry, or noticeable volume loss. A breast reduction after lumpectomy offers several benefits:

  • Improved Symmetry: Reducing and reshaping the affected breast while adjusting the other breast for balance.

  • Enhanced Aesthetic Outcomes: Maintaining a natural breast shape, avoiding significant deformities or indentations.

  • Relief from Physical Discomfort: For women with large breasts, reduction alleviates back, neck, and shoulder pain.

  • Increased Confidence and Well-Being: Providing a more natural look post-cancer treatment.

Who Is a Candidate for Oncoplastic Breast Reduction?

Ideal candidates for this procedure:

  • Have undergone or will undergo a lumpectomy for breast cancer treatment.

  • Have moderate to large breast size, making reduction a viable option for reshaping.

  • Are in good overall health and non-smokers.

  • Seek to correct post-lumpectomy asymmetry or volume loss.

  • Have realistic expectations about the results.

The Oncoplastic Breast Reduction Procedure

1. Preoperative Planning

  • Consultation: A detailed discussion with the surgical team, including the breast surgeon and Dr. Kearney, to plan the procedure.

  • Imaging: Mammograms or MRIs may be used to assess breast tissue.

  • Marking the Incisions: Dr. Kearney maps out incision patterns to optimize shape and symmetry.

2. Surgical Technique

  • Lumpectomy and Tissue Removal: Cancerous tissue is excised with a focus on maintaining breast contour.

  • Breast Reduction Techniques: Excess glandular tissue, fat, and skin are removed to reshape the breast.

  • Symmetry Adjustment: The opposite breast may also be reduced or lifted to create balance.

  • Nipple and Areola Repositioning: If necessary, the nipple-areola complex is moved for a natural appearance.

3. Recovery and Aftercare

  • Immediate Post-Surgery: Mild swelling, bruising, and soreness are common.

  • Supportive Garments: A surgical bra is worn to aid healing.

  • Return to Normal Activities: Most patients resume daily activities within 2 weeks but should avoid heavy lifting for 4-6 weeks.

  • Long-Term Results: The final shape and symmetry develop over several months as swelling subsides.

Potential Risks and Considerations

While oncoplastic breast reduction is generally safe, potential risks include:

  • Changes in nipple sensation

  • Scarring

  • Asymmetry requiring revision surgery

  • Delayed healing, particularly in smokers or diabetics

  • Rare complications such as infection or fluid accumulation

Long-Term Outcomes and Follow-Up Care

Patients who undergo oncoplastic breast surgery typically experience improved quality of life and high satisfaction with their results. Long-term follow-up includes:

  • Routine breast exams and imaging to monitor for cancer recurrence.

  • Regular check-ins with the surgical team to assess healing and aesthetic outcomes.

  • Healthy lifestyle habits to maintain surgical results.

Conclusion

Oncoplastic breast surgery, particularly breast reduction after lumpectomy, offers an effective way to restore symmetry and enhance breast aesthetics following breast cancer treatment. By integrating cancer care with plastic surgery techniques, this approach provides women with both oncologic safety and a cosmetically pleasing outcome.

For more information or to schedule a consultation, contact Dr. Kearney’s office today.