Oncology with aesthetics
The lip allows resection up to a third of its length with direct suturing - the main rule is: exact alignment of the border line (a millimeter displacement is noticeable) and layer-by-layer restoration of the muscle. For large defects, displaced flaps are used. Indications: squamous cell carcinoma and precancers (Manganotti cheilitis, leukoplakia), vascular and scar formations. The sutures are removed on the 5th–7th day, the scar along the natural lines is hardly noticeable. For malignant findings, histology with margins is discussed with the oncologist - with clear margins, treatment is often complete.
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.
