454 / 1816
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