Oncoplastic breast reconstruction integrates cancer treatment with plastic surgery methodologies to promptly reconfigure the residual breast tissue, thereby attaining an aesthetically improved breast contour subsequent to lumpectomy surgery. Representing a paradigm shift in breast reconstruction philosophy, oncoplastic breast conservation emphasizes the heightened significance of a woman's postoperative satisfaction with the aesthetic outcome of her breasts. This approach mandates a collaborative effort involving a multidisciplinary team of medical experts, including a plastic surgeon, surgical oncologist, medical oncologist, radiation oncologist, radiologist, and pathologist.

I firmly believe that many women undergo mastectomy without genuine necessity. My aim is to offer patients who are eligible for lumpectomies a treatment that matches mastectomy in survival outcomes but exceeds it in terms of overall quality of life. I've personally developed unique techniques in oncoplastic surgery, blending principles of both oncologic and plastic surgery, to provide an alternative to traditional mastectomy or lumpectomy. Oncoplastic surgery, a form of immediate reconstruction, is thoughtfully crafted to conserve as much of the natural breast tissue as possible while also ensuring the thorough removal of all cancerous tissue.

Oncoplastic breast reconstruction stands out for its numerous benefits, streamlining cancer removal and reconstructive efforts into a single procedure. This approach allows the majority of patients to undergo comprehensive surgical treatment in one step, leading to a notably shorter recovery period compared to the traditional combination of mastectomy and subsequent reconstruction. Patients typically experience a quicker return to normalcy, with the ability to resume driving within a week, return to work within two weeks, and engage in full activities within four weeks—a significant improvement over the 8-12 week recovery associated with other methods. By integrating reconstruction with lumpectomy, this technique preserves the natural breast shape and minimizes potential deformities. Moreover, the procedure offers the option to reshape the opposite breast simultaneously, contributing to enhanced symmetry. Overall, oncoplastic breast reconstruction offers a comprehensive and efficient solution, prioritizing both oncological efficacy and improved quality of life for patients.

When comparing oncoplasty and mastectomy in terms of efficacy and safety, oncoplastic breast reconstruction emerges as a promising alternative that effectively balances oncological outcomes with patient safety and satisfaction. Studies affirm that oncoplastic techniques allow for wider excision around the tumor, reducing the risk of cancer recurrence, while concurrently preserving aesthetic integrity compared to lumpectomy. This approach consistently yields a more satisfying cosmetic result, surpassing traditional reconstructive techniques and often achieving a breast shape superior to the preoperative state. Significantly, oncoplastic surgery requires only a single operation for both cancer removal and breast reconstruction, offering a streamlined and efficient treatment path. In select cases, it can be combined with single-dose radiation treatment, administered immediately in the operating room alongside lumpectomy, obviating the need for six weeks of follow-up radiation appointments. Moreover, oncoplastic breast reconstruction is applicable to both noninvasive (DCIS) and invasive breast cancer cases, making it a versatile choice for various conditions. Importantly, the procedure is covered by major insurance plans, and my office can provide assistance with the necessary paperwork, ensuring accessibility and affordability for patients. This comprehensive approach, encompassing efficacy, safety, and practical considerations, positions oncoplastic breast reconstruction as a patient-centered advancement in breast cancer surgery.

In many cases, the removal of a tumor can result in breast deformation if there is no subsequent reshaping of the breast tissue. However, this deformity can be avoided through oncoplastic surgery, a specialized procedure that immediately reshapes the breast to compensate for the tissue loss incurred during lumpectomy. This approach, led by specialist Dr. Nirav Savalia, not only preserves more breast tissue but also enhances the cosmetic outcome by preventing large indentations or irregularities. With oncoplastic breast reconstruction, individuals can achieve both a healthy body and a visually appealing result they can take pride in. For those eligible for lumpectomy, oncoplastic breast reconstruction often emerges as the preferred option.

Yes. The surgery can be coordinated, completed and have you back home within a span of 1-2 weeks. Your local medical oncologist can seamlessly take over your care upon your return. Additionally, we prioritize your convenience by allowing many pre-surgical tests to be conducted locally, in your home city, by your personal physician. We work closely with your physician to obtain the necessary information and test results before surgery, facilitating a shorter and more comfortable trip.

Yes. We often treat women who currently have breast implants. We can either work around your existing implants, replace them with new ones, take them out entirely, or address any other cosmetic concerns you have at the time of surgery.

According to a recent study looking at 1,802,128 patients, women have been shown to have better survival after breast conservation as compared to women who underwent mastectomy.  https://link.springer.com/article/10.1245/s10434-022-12133-8