Oncoplastic surgery is a range of surgical procedures that combine cancer removal with efforts to preserve or improve breast appearance after surgery. Oncoplastic surgery includes complete full-thickness closure of the lumpectomy cavity to prevent depressions from forming in the breast after cancer removal. More complex oncoplastic surgery procedures include breast cancer surgery combined with breast reduction or breast lifts of both breasts to improve breast appearance and symmetry. Oncoplastic surgery requires specialized training and is not widely performed by Breast Surgeons. In 2017, Dr. Holmes served as Co-Chair of the American Society of Breast Surgeon’s Oncoplastic Surgery Training Course, responsible for teaching breast surgeons how to perform oncoplastic surgery procedures.
Though some procedures may be performed by Dr. Holmes alone, Dr. Holmes usually collaborates with a plastic surgeon for more complex oncoplastic procedures to achieve the best results. After identifying a potential candidate for oncoplastic surgery, Dr. Holmes will make arrangements for you to meet with a plastic surgeon to plan the oncoplastic approach that fits you best.
California law requires that all health plans provide coverage for surgical procedures on the opposite breast that are performed to maintain or restore breast symmetry after breast cancer surgery. Therefore, most oncoplastic procedures are covered by insurance.
Most women can benefit from some form of oncoplastic surgery. However, women that benefit most are those with large breast or low-hanging breast. Oncoplastic surgery may also be particularly beneficial for women with breast cancers in the part of the breast where poor cosmetic results occur more commonly, for example, cancers of the lower and upper inner breast.