title: An Oncoplastic Breast Augmentation Technique for Immediate Partial Breast Reconstruction following Breast Conservation.
abstract: BACKGROUND
  Patients with a small breast volume and a relative large lumpectomy volume are at risk of developing severe breast deformity and asymmetry following breast conservation, presenting a unique surgical challenge.
  
  
  METHODS
  A series of patients undergoing immediate reconstruction by means of an oncoplastic breast augmentation technique following breast conservation are described. The technique includes local tissue rearrangement and bilateral subpectoral breast augmentation with implants of different sizes and shapes, immediately after lumpectomy for a malignant tumor.
  
  
  RESULTS
  Twenty-one consecutive patients underwent the oncoplastic breast augmentation technique (mean follow-up, 23 months; range, 12 to 48 months). Three patients (14.3 percent) had tumor-positive surgical margins. Postoperative complications included grade III/IV capsular contracture in five patients (23.8 percent) and breast infection in two patients (10 percent). All patients received postoperative radiation therapy. The cosmetic outcome was evaluated at least 6 months after radiation therapy, and it was favorable according to the reported high patient satisfaction (81 percent) and independent observers' evaluation scores (76 percent).
  
  
  CONCLUSIONS
  The oncoplastic breast augmentation technique described in this article is an acceptable option in small-breasted patients with a relatively large lumpectomy volume who elect to undergo breast conservation. This technique allows conservation of the affected breast and minimizes potential breast deformation and asymmetry following radiation therapy.
  
  
  METHODS
  Therapeutic, IV.
authors.affiliation: Tel-Aviv, Israel.|From the Department of Plastic and Reconstructive Surgery and The Center for Breast Health, Tel-Aviv Sourasky Medical Center, affiliated with the Sackler Faculty of Medicine, Tel-Aviv University.
authors.forename: Yoav
authors.initials: Y
authors.lastname: Barnea
authors.affiliation: Tel-Aviv, Israel.|From the Department of Plastic and Reconstructive Surgery and The Center for Breast Health, Tel-Aviv Sourasky Medical Center, affiliated with the Sackler Faculty of Medicine, Tel-Aviv University.
authors.forename: Or
authors.initials: O
authors.lastname: Friedman
authors.affiliation: Tel-Aviv, Israel.|From the Department of Plastic and Reconstructive Surgery and The Center for Breast Health, Tel-Aviv Sourasky Medical Center, affiliated with the Sackler Faculty of Medicine, Tel-Aviv University.
authors.forename: Ehud
authors.initials: E
authors.lastname: Arad
authors.affiliation: Tel-Aviv, Israel.|From the Department of Plastic and Reconstructive Surgery and The Center for Breast Health, Tel-Aviv Sourasky Medical Center, affiliated with the Sackler Faculty of Medicine, Tel-Aviv University.
authors.forename: Daphna
authors.initials: D
authors.lastname: Barsuk
authors.affiliation: Tel-Aviv, Israel.|From the Department of Plastic and Reconstructive Surgery and The Center for Breast Health, Tel-Aviv Sourasky Medical Center, affiliated with the Sackler Faculty of Medicine, Tel-Aviv University.
authors.forename: Tehillah
authors.initials: T
authors.lastname: Menes
authors.affiliation: Tel-Aviv, Israel.|From the Department of Plastic and Reconstructive Surgery and The Center for Breast Health, Tel-Aviv Sourasky Medical Center, affiliated with the Sackler Faculty of Medicine, Tel-Aviv University.
authors.forename: Arik
authors.initials: A
authors.lastname: Zaretski
authors.affiliation: Tel-Aviv, Israel.|From the Department of Plastic and Reconstructive Surgery and The Center for Breast Health, Tel-Aviv Sourasky Medical Center, affiliated with the Sackler Faculty of Medicine, Tel-Aviv University.
authors.forename: David
authors.initials: D
authors.lastname: Leshem
authors.affiliation: Tel-Aviv, Israel.|From the Department of Plastic and Reconstructive Surgery and The Center for Breast Health, Tel-Aviv Sourasky Medical Center, affiliated with the Sackler Faculty of Medicine, Tel-Aviv University.
authors.forename: Eyal
authors.initials: E
authors.lastname: Gur
authors.affiliation: Tel-Aviv, Israel.|From the Department of Plastic and Reconstructive Surgery and The Center for Breast Health, Tel-Aviv Sourasky Medical Center, affiliated with the Sackler Faculty of Medicine, Tel-Aviv University.
authors.forename: Amir
authors.initials: A
authors.lastname: Inbal
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D015412:Mastectomy, Segmental; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors; D055815:Young Adult