ESTRO Multidisciplinary Management of Breast Cancer 2017

Not a ‘one size fits all’ option

• Need to modify and tailor the operative approach to the patient:

• Ptosis is used to permit higher volume resection with skin envelope tightening to achieve a perter breast.

• Nipple height adjustment and re-centralisation integral to techniques

• Contralateral symmetrisation may be required at the same time or later

• Tumour position relative to flap blood supply must be considered so may need to modify techniques. Some women may have anatomic variants with few feeding vessels to areolar plexus