SURGICAL PROCEDURES
Oncoplastic Breast Reconstruction (Available Upon Request)
Overview
Oncoplastic Breast Reconstruction is an advanced surgical procedure that combines oncologic surgery (cancer removal) with plastic and reconstructive techniques to preserve or restore the breast’s appearance after a lumpectomy or mastectomy. This approach aims to remove cancerous tissue while achieving the best possible cosmetic outcome, ensuring that patients feel whole and confident after their treatment.
How Does Oncoplastic Breast Reconstruction Work?
The procedure involves two key components:
- Cancer Removal: The first step in oncoplastic surgery involves the removal of the tumour through a lumpectomy or mastectomy. The extent of tissue removal depends on the size, location, and stage of the cancer.
- Reconstruction: Following the tumour removal, plastic surgery techniques are employed to reconstruct the breast. This may involve reshaping the remaining breast tissue, repositioning the nipple, or using implants or tissue flaps to restore breast volume. The goal is to achieve a symmetrical and natural-looking breast, minimising the cosmetic impact of cancer surgery.
Types of Oncoplastic Breast Reconstruction
Oncoplastic techniques can vary depending on the patient's needs and the extent of the cancer. Some common approaches include:
- Volume Displacement Techniques: Utilising the patient’s own breast tissue to reshape and lift the breast after a portion has been removed. This is often suitable for women with larger breasts.
- Volume Replacement Techniques: In cases where a significant amount of tissue is removed, the lost volume may be replaced using implants or autologous tissue (tissue taken from another part of the body, such as the abdomen or back).
- Bilateral Procedures: To ensure symmetry, oncoplastic reconstruction may involve surgery on both breasts, even if cancer is present in only one. This can include breast reduction, mastopexy (breast lift), or augmentation.
Who is a Candidate for Oncoplastic Breast Reconstruction?
Oncoplastic Breast Reconstruction is suitable for many women undergoing breast cancer surgery. Ideal candidates include those with:
- Early-stage breast cancer that requires lumpectomy or partial mastectomy
- Larger breasts where reshaping can be achieved with the remaining tissue
- A desire to maintain or restore breast symmetry and appearance
- A preference for combining cancer surgery with immediate reconstruction
Benefits of Oncoplastic Breast Reconstruction
- Aesthetic Preservation: By integrating plastic surgery techniques into cancer treatment, oncoplastic reconstruction helps maintain the natural shape and appearance of the breast.
- Comprehensive Care: The combined approach ensures that both oncologic and cosmetic concerns are addressed in a single procedure, minimizing the need for additional surgeries.
- Personalised Treatment: Each surgery is tailored to the individual patient, considering factors such as the extent of cancer, breast size, and personal preferences.
Dr Kleintjes works in close collaboration with Dr Andrew Viljoen, a respected breast surgeon. Together, they form a cohesive team that ensures every aspect of the surgery—from cancer removal to aesthetic reconstruction—is handled with precision and expertise.
This procedure is performed at Melomed Bellville Hospital, Dr Kleintjes and Dr Viljoen provide comprehensive, compassionate care, guiding their patients through every step of the surgical process.