ESTRO Multidisciplinary Management of Breast Cancer 2017

Level 1. Local parenchymal flaps

• For small defects, parenchymal flap mobilisation to reduce indentation.

• Caution in the fatty breast, diabetics, smokers, post- radiotherapy as increased risk of fat necrosis.

• Useful for small to moderate volume defects

• Nipple re positioning may not be necessary