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Oncoplastic Surgery

Oncoplastic Surgery in Toowoomba

Oncoplastic surgery is a specialised approach to breast cancer surgery that combines oncology principles with plastic surgery techniques. This innovative surgical method aims to achieve optimal cancer removal while simultaneously preserving or restoring the natural appearance of the breast. 

It represents a collection of surgical techniques designed to seamlessly integrate cancer removal with efforts to maintain or enhance the aesthetic aspects of the breast. This approach is distinctive for its focus on achieving full-thickness closure of the lumpectomy-related cavity, a crucial step to prevent depressions that may distort scars and affect the overall appearance of the breast post-cancer removal.

Breast Surgery | Breast Reconstruction | Breast Augmentation | Mastectomy | Cutting Edge Surgery Toowoomba

What is Oncoplastic Surgery?

Oncoplastic surgery integrates principles from both oncologic surgery and plastic surgery. It involves reshaping the breast after cancer removal to maintain symmetry and achieve a cosmetically pleasing result. This surgical approach is particularly relevant for breast-conserving procedures, where a portion of the breast tissue is removed to eliminate cancer while preserving the overall breast shape.

Goals of Oncoplastic Surgery

The primary goals of oncoplastic surgery are to achieve complete cancer removal, minimise the risk of local recurrence, and optimise cosmetic outcomes.

A woman’s choice of treatment for a mass in the breast is incredibly personal. Oncoplastic surgery involves designing the operation to fit the patient: incorporating a woman’s goals for the operation, the size and location of the tumour, and the patient’s breast size and shape into the operative plan. It is very important for a woman to share with her surgeon what her cosmetic goals are for the operation. A woman may simply want her body to be restored as closely as possible to what was present before surgery. However, if a woman desires a lift with or without a reduction, this may often be incorporated into the surgical plan.

Furthermore, when the cancer involves more than one-quarter of the breast, it may be necessary to perform a lift/reduction as a means of avoiding a mastectomy.

Traditional lumpectomies involved placing the scar as close as possible to the cancer and allowing the cavity to fill with fluid. This often led the breast to heal with a depression or crater, especially after completion of radiation therapy. The goal of a Level I oncoplastic lumpectomy is to avoid this crater by shifting the surrounding breast tissue to fill that space. Furthermore, the scar may often be placed around the edge of the areola, under the breast, or in the armpit, so that the scar is hidden from view.

These procedures involve more advanced techniques for reshaping the breasts. They are often considered for women with large breasts or in cases where the breast tumour is larger.

As with other parts of the body, the skin of the breasts can stretch over time. This is called ptosis. Ptosis can be corrected by removing excess skin and lifting the nipple back to the centre of the breast—a procedure known as mastopexy.  This breast lift can be combined with a lumpectomy to improve the shape of the breast.

If a woman desires her breasts to be smaller, excess breast tissue can be removed along with the lift—a procedure known as a reduction mammoplasty.

Compared to standard lumpectomies, both Level I and Level II procedures remove more breast tissue around the tumour.  This is done to correct deformities and maintain breast shape.  This means that there is a smaller chance of the need for a second surgery to clean up the margins around the cancer.  These procedures may be perfect for women who have always thought about breast reduction. They not only have the outcome of smaller lifted breasts but also less back, neck and shoulder pain. Health insurance generally covers these procedures with a diagnosis of cancer.

  • Improved Aesthetics: Preserves or enhances the natural appearance of the breast.
  • Reduced Psychological Impact: Minimises the emotional impact of breast cancer by addressing body image concerns.
  • Lower Risk of Recurrence: Enhances the completeness of cancer removal, reducing the risk of local recurrence.
As with any surgical procedure, oncoplastic surgery carries risks such as infection, bleeding, and changes in breast sensation. Patients are thoroughly informed about potential complications during the preoperative consultation.
Recovery from oncoplastic surgery varies, but most patients can resume normal activities within a few weeks. Follow-up care includes regular monitoring for cancer recurrence and assessments of cosmetic outcomes.

Specialised Training in Oncoplastic Surgery:

Oncoplastic surgery requires specialised training and expertise, and it is not widely performed by all Breast Surgeons. At Cutting Edge Surgery Toowoomba, our commitment to excellence is reflected in Dr. Davarpanah’s extensive training as a Breast Surgeon, coupled with the collaboration of Plastic Surgeon Dr. Bangash. Together, they bring a unique blend of skills to ensure the best possible aesthetic results alongside optimal oncological outcomes. Still unsure about the details of the procedures involved and want to take the next step toward a future of health and beauty?

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