Over 70% of Breast Cancers can be treated with breast conservation therapy which includes lumpectomy with radiation. Although this approach preserves breast tissue, the defects can be deforming especially after radiation. Oncoplastic breast surgery uses cosmetic based techniques to reconfigure the breasts into an ideal shape and position to preserve a more natural looking breast. These procedures can include breast reduction, lifting and/or tightening procedures which can allow for resection of the cancer and reshaping of the breast in the same procedure.
The procedure is often done at the same time as a symmetry procedure is performed to the other breast such as a breast reduction or lift.
Candidates have breast cancer that is treatable by lumpectomy with or without radiation. A thorough consultation with Dr. Capuano is necessary prior to surgery.
Typically yes, there is a federal law which protects women and requires insurance carriers to pay for breast reconstruction following cancer surgery.
Oncoplastic surgery is a specialized approach that combines cancer removal (oncologic surgery) with plastic surgery techniques to achieve both complete tumor removal and optimal cosmetic outcomes. Here are the key benefits:
Primary Benefits:
1. Better Cosmetic Results
- Preserves breast shape and appearance during cancer removal
- Minimizes visible deformities that can occur with traditional lumpectomy
- Uses reconstructive techniques simultaneously with tumor removal
2. More Complete Cancer Removal
- Allows surgeons to remove larger amounts of tissue while maintaining appearance
- Can achieve wider margins (more thorough cancer removal)
- May reduce the need for re-excision surgeries
3. Breast Conservation
- Enables breast-conserving surgery in cases where mastectomy might otherwise be necessary
- Particularly beneficial for larger tumors relative to breast size
- Expands the eligibility for lumpectomy vs. mastectomy
4. Psychological & Quality of Life Benefits
- Reduces emotional distress related to body image changes
- Improves patient satisfaction with surgical outcomes
- Better overall quality of life post-treatment
5. Symmetry Options
- Can include surgery on the opposite breast for symmetry
- Creates balanced, natural-looking results
6. Single-Stage Procedure
- Combines cancer removal and reconstruction in one surgery
- Reduces the need for multiple operations
This approach is particularly valuable for patients with larger tumors, unfavorable tumor locations, or those who want to preserve their breast while ensuring complete cancer removal. The technique requires coordination between surgical oncologists and plastic surgeons—something Dr. Capuano's expertise in both plastic and reconstructive surgery makes him well-suited to provide.