Reconstruction of large volume breast excision area with volume replacement after using V mammoplasty technique

Abstract

The main goal in breast cancer surgery should be to perform safe surgery within the framework of oncological principles and to achieve the ideal cosmetic appearance that will not impair the person's quality of life. With this aspect, oncoplastic breast cancer surgery, which was developed for the solution of situations where classical breast-conserving surgery methods are insufficient, is being applied at increasing rates today. The cosmetic success of breast-conserving surgery can be understood after radiotherapy is given. The tissue gap formed in a lumpectomy is closed by the organization of the tissue fluid accumulated in the excision area over time. Fibrosis, which will develop during the natural wound-healing process, increases significantly after radiotherapy and may cause a change in appearance. In oncoplastic techniques, the defect is closed primarily by shifting the breast tissue, thus preserving the cosmetic.
 As an example, our study aimed to present the V mammoplasty technique applied to a premenopausal patient in the fourth decade with atypical ductal hyperplasia covering the entire inner half of one breast, with moderate ptosis and macromastia. 
 Today, breast cancer is accepted as a chronic disease and multidisciplinary teamwork is required for effective treatment. General surgeons play an important role in this team in terms of the interventional treatment of the disease and the preservation of the patient's quality of life. For this purpose, it is necessary for them to know and be able to apply most of the low and high-difficulty levels of oncoplastic techniques.