Onco-Aesthetic breast surgery; It means that surgery for breast cancer is performed together with plastic surgery methods to improve the aesthetic appearance of the breast. The method consists of combining the principles of oncological surgery and plastic surgery. The patient has both cancer surgery and the breast can be protected aesthetically.
Until the last decades, the entire breast was removed in breast cancer surgeries. Negative results were seen in terms of body integrity perception and psychological effects. Over the years, when it was understood that breast cancer could be treated without removing the breast, Onco-Aesthetic methods came to the fore.
Today, Onco-Aesthetic breast surgery primarily consists of removing large enough tissue to provide safe surgery without compromising the principles of cancer surgery in people who will undergo breast-conserving surgery, and closing the remaining breast space in the most aesthetic way. In addition, in patients with large breasts, it is possible to both get rid of cancer and reach a more suitable breast volume by reducing the breast with cancer and the opposite breast in the same session.
In patients for whom breast-conserving surgery is not possible, surgery can also be performed, if appropriate, by removing the inside of the breast completely and filling it with a silicone prosthesis or the person’s own tissues. Prostheses are used more frequently since they are now understood to be reliable.
Breasts can be reconstructed using the back muscles in those with a suitable body structure, and abdominal muscles and skin in those with a belly, and tummy tuck surgery is performed at the same time.
In patients with familial cancer risk or high-risk patients, prophylactic mastectomy can be performed without cancer by removing the inside of the breast and placing a prosthesis. Thus, the risk of breast cancer is minimized.
The method of Onco-Aesthetic surgery varies according to the patient, the type of treatment of the disease and time. The surgeon and the patient should discuss and choose the method together.
The advantages of Onco-Aesthetic surgery are that it allows wider surgery, better local control, better aesthetic results, reduced mastectomy rate, convenience to radiotherapy, providing breast equality, application in a single session, high quality of life, high patient satisfaction, cheaper and easier than late repairs.