Oncoplasty with LICAP

There are several innovative oncoplastic breast reconstruction options available today, including the LICAP flap procedure. The LICAP, or lateral intercostal artery perforator flap, is a newer method of reconstructing the breast by moving excess skin and fat from the side of the chest (bra roll) into the breast. It is used to reconstruct the breast following a lumpectomy and often results in the most hidden scar. In best case scenarios, this procedure allows us to preserve your breast shape and size despite having a large lumpectomy.

This 48-year-old female patient was diagnosed with right breast DCIS spanning approximately 5 cm at the location of 10:00. The patient wanted to maintain a breast size as close to her original as possible. Given that the tumor was on the outer portion of the breast, Dr. Savalia was able to accomplish this by surgically transferring tissue from the patient's lateral chest into the breast. The total amount of tissue excised by the breast surgeon amounted to 86 grams.

This 70-year-old female patient was diagnosed with invasive ductal carcinoma in her left breast at the 3:00 location, spanning approximately 38 mm. She expressed a desire to maintain her current breast volume post-surgery. After her breast surgeon removed the tumor using a lumpectomy method, Dr. Savalia performed a left lateral intercostal artery perforator flap, a technique that involves using tissue from the lateral chest to fill in the deficit left by the lumpectomy. The patient underwent whole-breast radiation to her left breast after the surgery.