Open AccessThe “Wiser” oncoplastic reduction mammaplasty — An approach to challenging medial defects
Author(s) -
Zhu Xiao,
Egro Francesco M.,
De La Cruz Carolyn
Publication year - 2018
Publication title -
the breast journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.533
H-Index - 72
eISSN - 1524-4741
pISSN - 1075-122X
DOI - 10.1111/tbj.13124
Subject(s) - medicine , mammaplasty , reduction (mathematics) , oncoplastic surgery , breast reduction , resection , surgery , mastopexy , parenchyma , reduction mammoplasty , breast surgery , anatomy , plastic surgery , breast cancer , pathology , cancer , geometry , mathematics
Medial defects created by breast‐conservation surgery pose a significant challenge to oncoplastic reduction mammaplasty, especially with superficial tumors that necessitate resection of overlying skin. These tumors lie outside of the standard breast reduction excision pattern, and require modifications to the routine Wise approach. We present one modification — the “Wiser” oncoplastic reduction mammaplasty technique — that utilizes spared tissue along the lower pole, and a medial dermoglandular pedicle to address both skin and parenchymal defects created by the tumor resection.