Oncoplastic surgery can achieve good aesthetic results without compromising cancer outcomes
All photos used are with the patient’s signed informed consent.
Mastectomy and reconstruction
Nipple sparing mastectomy and implant reconstruction
Left sided surgery
This patient had two large invasive breast cancers in her left breast (24 mm and 50 mm). She had a left nipple sparing mastectomy with immediate prepectoral implant based reconstruction and sentinel node biopsy.
The incision is along the underside of the left breast.
Skin sparing mastectomies and implant reconstructions
Bilateral surgery
This patient had a left sided breast cancer and chose to have a double mastectomy with nipple sacrifice and left sentinel lymph node biopsy. She chose immediate prepectoral implant based reconstruction.
There are both pros and cons to keeping the nipple and a nuanced discussion is required on a case by case basis as to what is most suitable for each patient.
Note that the nipples can be reconstructed or tattooed, if the patient wishes.
Nipple sparing mastectomy and symmetrising mastopexy
Left implant; right symmetrising
This patient had a large left sided breast cancer and chose to have a mastectomy with pre-pectoral implant based reconstruction and sentinel node biopsy. She has a symmetrising right sided mastopexy at the same time.
Nipple preservation in patients with larger sized breasts can be challenging, but still possible. The “Omega” incision shown here is one potential approach.
Oncoplastic breast surgery is a subspecialty that combines surgical oncology and plastic surgery techniques and requires individualised approaches for each patient. Mr Li offers the full range of oncoplastic surgery procedures and will be able to provide nuanced discussions as to what is most suitable for each patient.
Mr Ran Li 