Oncoplastic reconstruction utilizes techniques to mold the breast tissue that is left after a lumpectomy to give the breast a more natural, rounded appearance. This can limit the divet or concavity that can be left after a lumpectomy.
Performing a breast reduction during a lumpectomy is a type of oncoplastic reconstruction. It is possible to perform a breast reduction at the same time as a lumpectomy. If you are interested in having a breast reduction on both sides, there are advantages and disadvantages to consider with regards to doing the breast reduction on the non-cancer side at the same time as the lumpectomy or at a later date. Almost all patients undergoing a lumpectomy will require radiation after surgery. Radiation tends to shrink the remaining tissue and make it firmer, although the degree to which this occurs is unpredictable. Hence, if you wish to have both breasts reduced in one surgery, Dr. Elswick will try to predict the amount of tissue that needs to be excised to make you a similar shape after radiation (the radiated breast would be left slightly larger than the non radiated breast). Alternatively, you could have a breast reduction on the non- radiated side at a later date, generally at least six months after radiation, so Dr. Elswick can assess how the radiation has impacted the other breast. Despite this, radiation changes continue to occur throughout your life and the radiated breast tends to stay firmer and perkier over time when compared to the non-radiated breast.