All about oncoplastic breast reduction surgery

Esteemed consultant oncoplastic surgeon Mr Hussein Tuffaha takes an in-depth look at oncoplastic breast reduction surgery in this article. He considers how it differs from traditional breast cancer surgery, who is suitable to have this operation, and its benefits - and more.

What is oncoplastic breast reduction surgery?

Oncoplastic breast reduction surgery is a specialised procedure that combines cancer removal with cosmetic breast reduction techniques. It’s primarily used for women with breast cancer who wish to have a lumpectomy (removal of the tumour) but also want to achieve a more aesthetically pleasing breast shape. This approach ensures that cancerous tissue is removed while simultaneously reshaping and reducing the size of the breast, providing both medical and cosmetic benefits.

How is it different from traditional breast cancer surgery?

Traditional breast cancer surgery, such as a lumpectomy or mastectomy, focuses solely on removing the cancerous tissue. In contrast, oncoplastic surgery incorporates reconstructive techniques to preserve or enhance the appearance of the breast. With oncoplastic breast reduction surgery, surgeons can remove larger tumours while minimising cosmetic deformities, as the reduction technique allows for reshaping of the breast tissue. This can lead to more symmetrical and natural-looking results compared to traditional surgery.

Who is a candidate for oncoplastic breast reduction surgery?

This procedure is suitable for women who:

• Have been diagnosed with breast cancer, particularly in the early stages
• Have larger breasts and are looking to reduce their size as part of their treatment plan
• Require tumour removal but wish to maintain a natural breast shape
• Want to reduce the likelihood of asymmetry after surgery, particularly if they have a larger tumour

It’s important for potential candidates to discuss the procedure with their oncologist and breast surgeon to determine if it’s the right option for them.

What are the benefits of oncoplastic breast reduction surgery?

Oncoplastic breast reduction surgery offers several benefits, including:

• Cosmetic improvements: Achieving a more natural breast shape and size, which can improve body image and confidence.
• Better cancer control: Surgeons can remove more tissue, reducing the risk of cancer recurrence while preserving the breast’s appearance.
• Symmetry: For women with larger breasts, the surgery allows for a more balanced and proportionate look.
• Less need for further surgeries: The combined approach reduces the likelihood of requiring additional cosmetic procedures post-cancer treatment.

What is involved in the surgery?

The surgery usually involves:

1. Cancer removal: The surgeon removes the tumour and surrounding tissue to ensure all cancerous cells are excised.
2. Breast reshaping: The remaining breast tissue is reshaped to create a more balanced and natural appearance. Depending on the size of the breast, this may involve repositioning the nipple or reducing the overall size.
3. Post-surgery recovery: Recovery typically involves a short hospital stay, followed by a few weeks of rest at home. Patients are advised to avoid heavy lifting or strenuous activities during the healing process.

What are the risks?

As with any surgery, there are risks involved, such as:

• Infection
• Scarring
• Changes in nipple sensation
• Asymmetry if further adjustments are needed

However, the long-term benefits of combining cancer treatment with cosmetic enhancement can outweigh these risks for many patients.

Are you considering oncoplastic breast reduction surgery? Arrange a consultation with Mr Tuffaha via his Top Doctors profile.