Variations of classical reduction patterns for oncoplastic purposes

SELECTION AND PLANNING Modifications to standard mammoplasty techniques are some of the most practical and useful developments in oncoplastic breast-conserving surgery. By offering versatility of approach to different clinical scenarios, they have become one of the most adaptable and commonly employed procedures for managing women who require large percentage excisions from the breast. The extent of excision may be variably defined; the authors previously demonstrated that excision of more than 10% of breast volume from the inner half of the breast and more than 20% from the outer half of the breast is more likely to result in a poor cosmetic outcome (1). Nonetheless, whenever a cancer excision is unlikely to achieve an acceptable cosmetic result with simple wide excision alone, techniques such as mammoplasty should be considered.