Oncology + aesthetics in one step
Skin-sparing mastectomy creates conditions for immediate reconstruction: the expander under the muscle/mesh is filled gradually using dressings, and after 3–6 months (after completion of adjuvant treatment) it is replaced with a permanent implant; Under favorable conditions, direct installation of implants is possible. Psychologically, the immediate path is much easier to bear than the delayed one. Compatibility with chemotherapy/radiation therapy is planned by the consultation. Symmetry and final touches (nipples, lipofilling) are the final outpatient stages.
Indications
- fibroadenoma growing or 2+ cm, phyllodes tumors - sectoral resection;
- breast cancer - organ-preserving radical resection or mastectomy according to indications;
- BRCA carriage - preventive surgery with reconstruction;
- gland abscess - opening and sanitation;
- defects after oncological operations - reconstruction with implants/lipofilling.
Organ preservation and reconstruction
Modern mammology strives to preserve the breast whenever it is oncologically safe: radical resection with urgent histology of the margins + subsequent radiation therapy is not inferior in survival to mastectomy in the early stages. When mastectomy is necessary, reconstruction (simultaneous or delayed - expander/implant, lipofilling for final correction) restores quality of life. Axillary lymph node dissection is performed as indicated; The IHC profile of the tumor (ER/PR/HER2/Ki-67) determines systemic treatment. All operations are performed with an aesthetic suture.
