ABSTRACT
Oncoplastic breast surgery (OPS) is a comprehensive approach to surgical planning that combines the principles of surgical oncology with plastic and reconstructive surgery. Its aim is to improve the cosmetic outcome of breast-conserving surgery (BCS) while maintaining oncologic safety. OPS has several advantages, including a lower rate of positive margins, less re-excision, and comparable oncological outcomes to standard BCS. The cosmetic outcome of OPS is also superior, with less dissatisfaction and failure rates. Preoperative planning is crucial for achieving optimal results. Factors to consider when planning OPS include breast size, tumor location, breast density, ptosis, and patient and surgeon preference. OPS techniques are classified into three levels, depending on the amount of breast tissue resected and the complexity of the reconstruction.
