Oncoplastic mammaplasty with geometric compensation-A technique for breast conservation

Objective:Todescribeatechniqueofoncoplasticmammaplasty,referredtoasgeometriccompensation,whichissuitablefortumorsclosetotheskin in areas not included in the classic preoperative drawings for mammaplasty. Materials and Methods: Seventeen patients with malignant tumors were included. Preoperative markings followed the “Wise‐pattern” technique. The resection of affected skin was geometrically compensated with another area of preserved skin. Results:Themeanageofthepatientswas52.88 � 12.14years.Meanpathologicaltumorsizewas43.82 � 31.39mm.Therewere7(41.18%)locally advanced tumors. Six patients (35.29%) were submitted to neoadjuvant and the remainder to adjuvant chemotherapy. Radiotherapy was indicated in allcases.Fifteenpatients(88.24%)receivedhormonetherapy.Ptosiswascorrectedinallcases.Theaestheticresultwasratedexcellentinsevencases (41.18%), good in 7 (41.18%), and fair in three cases (17.65%). Surgical margins were free. A seroma developed in one case (5.88%), small fat necrosis in three (17.65%), and enlarged scar in one (5.88%). There were no recurrences within 28.24 � 18.02 months. Conclusions: The technique allowed breast conservation in situations requiring large resection of affected skin, with free surgical margins, correction of ptosis, satisfactory symmetry, and few complications. J. Surg. Oncol. . 2014 Wiley Periodicals, Inc.