I can’t say enough good things about Dr. Gupta and his team. As a healthcare worker, I strongly feel that, when looking for a good surgeon, you should always ask the surgical nurses who to go to. The nurses I work with all said that Dr. Gupta would be their first choice for a plastic surgeon.
— Verve Patient
Lumpectomy Reconstruction
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What Is an Oncoplastic Reduction?
An oncoplastic reduction is similar to a breast reduction. Your general surgeon will remove the tumor and surrounding tissue. Dr. Gupta will reposition your remaining breast tissue to give you a lifted and round shaped breast. Without oncoplastic reduction often patients are left with indentation deformities after their lumpectomy.
Who Is a Good Candidate?
- Discuss with your general surgeon whether you are a good candidate or not for breast conserving surgery. It will depend on the tumor size and your breast size, in order to determine if you are a good candidate.
- You should be at or close to your ideal weight, with a BMI less than 35.
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- The best candidates are non-smokers. Smoking increases the chance of complications including impairment in wound healing.
The Procedures
Lumpectomy
- Your general surgeon will perform your lumpectomy in order to remove the tumor plus some tissue surrounding the tumor.
- This tissue will be sent for pathology to ensure all cancer cells have been removed.
- If final pathology demonstrates positive margins, i.e. there were microscopic cancer cells that were not removed, you will require either a repeat excision or you may require a mastectomy to ensure complete removal of any breast cancer cells.
- The amount of tissue removed, the size of your breast, and your desired breast size will all contribute to your end results.
- Once the lumpectomy has been performed, Dr. Gupta will reposition the remaining tissue to create the optimal breast shape.
Breast Reduction/Lift
- A similar amount of tissue will be removed from the opposite breast in order to provide symmetrical results.
- Typically, an anchor shaped incision is necessary to lift, reduce and reposition the breast. Skin and excess tissues will be removed. More details
The Incisions
Typically, an anchor shaped incision will be used to remove the tumor and to perform the breast repositioning. The remaining tissue will be repositioned to create the optimum shape.
FAQs
You will experience some changes in nipple sensation. Most patients report a slightly diminished sensation long term however we cannot predict which patients will experience this.
- Yes. Surgical drains will be required to prevent excess fluid accumulation in your newly shaped breasts.
- They typically stay in place 5-10 days depending on the volume of fluid output.
- If we perform the lumpectomy correction at the time of your lumpectomy and the margins are positive, there are 2 possibilities:
- 1 – your general surgeon will determine where the positive margins are based off the clips they place at the time of surgery.
- 2 – you may require a full mastectomy to ensure that all of the cancer is removed.
- Yes. It is possible to undergo the lumpectomy first, then wait about 1 week for the final pathology. If the final pathology is negative for any cancer, Dr Gupta can perform the reconstruction.
- We want to ensure the reconstruction occurs within 7-10 days as we do not want to cause a delay to radiation therapy which is often indicated after a lumpectomy.
Request an Appointment
Call (760) 436-7600 or fill out the form to schedule an appointment to discuss your needs in detail