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Oncoplastic Breast Surgery

Oncoplastic breast surgery combines the techniques of traditional breast cancer surgery
with the cosmetic advantages of plastic surgery. The goal is to remove cancer while minimizing the unwanted effects
of surgery, helping patients heal both physically and emotionally.

How Oncoplastic Surgery Works

Oncoplastic surgery is most commonly performed in association with a lumpectomy. To
begin, the surgeon will remove the tumor, a small amount of surrounding tissue, and possibly some of the nearby
lymph nodes. Then the plastic surgeon will perform a bilateral breast reduction or lift to make the two breasts
symmetrical.
The breast cancer surgery operation and plastic surgery operation are performed one after the other.
Doing this has several benefits:

Requires only one surgical session

Allows a greater amount of tissue to be removed, which can be helpful for larger tumors
Makes it easier to produce symmetrical breasts
Performed before radiation therapy, which helps patients avoid potential complications of exposing surgical wounds
to radiation

Oncoplastic Techniques

There are many different oncoplastic techniques depending on the cancer’s
characteristics, the patient’s health and body, and their desired outcome. Some of the most common include:

Local Advancement Flap

With a traditional lumpectomy, a tumor and a small portion of the surrounding tissue is
removed. However, depending on the size and location of the tumor, this can deform the breast.
Instead, a local advancement flap allows surgeons to take the tissue that remains after a tumor has been removed and
use it to reconstruct the original appearance of the breast. This leaves no additional indentations or defects.

Bilateral Breast Reduction

When a lumpectomy is performed on only one breast, it can reduce its size and alter its
shape. A bilateral breast reduction solves this problem by altering the size and shape of the other breast as
well.
This technique has several benefits. By operating on the other breast, a larger amount of tissue is removed. This
can be helpful if the tumor is large and additional tissue is required. Modifying the other breast will also help
make both breasts more symmetrical.

Bilateral Breast Lift (Mastopexy)

A bilateral breast lift, or mastopexy, is a more minimal form of bilateral breast
reduction. This is a good option for women who don’t want to significantly reduce the original shape of their
breasts.
Rather than removing a large amount of tissue from both breasts, the only tissue that’s removed is from the original
excision (as well as a comparable amount on the other breast). This can be accompanied by additional aesthetic
procedures, such as a nipple relocation, to help the breasts become more symmetrical.

Skin-Sparing Mastectomy

For patients with advanced stage breast cancer, a mastectomy may be necessary. If this
is the case, a skin-sparing mastectomy can help the patient conserve the look of the breast.
In this procedure, the skin of the breast, including the nipple and areola, are removed. Then the breast tissue is
taken out through the same incision. Afterward, the surgeon will reconstruct the breast using the removed skin,
nipple, and areola. Doing so allows them to preserve the original shape and appearance of the breast.

Who Is Eligible for Oncoplastic Surgery?

The variety of oncoplastic techniques mean that they can be used with a range of breast
types. However, patients interested in oncoplastic surgery to reduce the size of their breasts will likely require
breasts large enough to accommodate these techniques. Women with small breasts or those who have had multiple
lumpectomies may not be eligible for oncoplastic surgery.

CONSULTATION & APPOINTMENT

The department provides consultation services through highly qualified and experienced
Urology Consultant who carefully evaluate each patient. After diagnosing the patient’s condition, our Consultant
discusses available treatment options and recommends the most effective treatment.

Consultant in the Department of Oncoplastic & Reconstructive Breast Surgery:

uploads Oncoplastic & Reconstructive Breast Surgery Dr. SK Farid Ahmed
MBBS, FRCS (Glasgow), RCPS (Glasgow)
Senior Consultant – Oncoplastic & Reconstructive Breast Surgery
| View Consultant Profile | Make Appointment |
Oncoplastic Lt. Col. (Dr) Syeda Asmema Shashi
FCPS (Surgery), MS (Plastic Surgery), Fellowship in Plastic,
Reconstructive and Aesthetic Surgery, SGH (PGMI)
Senior Consultant – Oncoplastic & Reconstructive Breast Surgery
| View Consultant Profile | Make Appointment |

IMPORTANT POINTS
ABOUT TESTS/PROCEDURES/SURGERIES, YOUR REPORTS & BILLING ENQUIRIES

    • Tests/Investigations:
      • To schedule a test/investigation, please call the relevant OPD front desks.
      • Your lab investigation samples are to be deposited in the Sample Collection
        Room
        located in the hospital’s atrium, which is open on working days
        (Saturday-Thursday) from 7.00 am to 10:00 pm, and on Fridays and holidays from 7.00 am to 3.00
        pm.
      • Your investigation reports can be collected from Report Delivery Room by
        showing the receipt of payment. The hospital shall not be responsible for reports not collected
        within 30 days after the tests were done. Report Delivery Room is also located in the hospital’s
        atrium, and is open on working days (Saturday-Thursday) from 8.00 am to 8.30 pm, and on Fridays
        and holidays from 9.00 am to 5.00 pm.
      • You will not be able to collect your investigation reports without your receipt of payment. If
        you have lost your receipt, you may collect a duplicate copy from our Billing Executives
        (Corporate Desk, Atrium – level 1).
      • You can request duplicate copy of your investigation reports from the Report Delivery Room,
        inclusive of BDT 100 additional charge.
    • Procedures & Surgeries:
      • If you are interested in undergoing a procedure or surgery, please see our relevant Consultant
        first.
      • To search for a Consultant, go to Find a Consultant
        page and for appointments, go to Make an Appointment page.
    • In-patient Reports
      • A Discharge Summaryis provided to a patient upon his/her discharge from the
        hospital. A discharge summary is a summary of the events during hospitalization of the patient.
        It outlines the patient’s chief complaint, the diagnostic findings, the therapy administered and
        the patient’s response to it, and recommendations on discharge.
      • To request for detailed in-patient medical reports or to make an insurance claim, refer to our
        Medical Report page.
  • For queries on charges, contact our Billing Department (Corporate Desk, Atrium – level 1) or call/e-mail our
    Billing Executives:
Mr. Taslimur Rahman:
Manager – Billing
Phone : +88-02-8431661-5; Ext-1353
(From 9 am to 5 pm –Except Holidays)
E-mail: taslimur.rahman@evercarebd.com
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