445 / 1816
Planning examples.
•
More complex dermoglandular flaps/ therapeutic
mammoplasty techniques.
•
May achieve resection volumes of 20-50%
•
Many techniques available depending on the site of
the affected quadrant; Quadrant by quadrant atlas
of procedures plus bespoke modifications. E.g.
Batwing for superior periareolar, grisotti for central,
superior pedicle for inferior tumours etc.
•
If planning conservation for multicentric disease,
MRI is necessary, patient must be warned about
risk of subsequent mastectomy and lack of level 1
evidence of safety.
•
May need multiple tumour wires