Fundamentals of Oncoplastic Breast Surgery

This hybrid course is for general and breast surgeons who have never performed oncoplastic surgery. A review of fundamental elements of oncoplastic breast surgery will include applied anatomy, imaging, patient assessment and patient selection. The online didactic lectures will cover basic and often used oncoplastic techniques to improve the aesthetic outcome of partial mastectomies; incision placement, parenchymal closure, intramammary flaps, de-epithelialization, crescent mammaplasty, and donut mammoplasty. Office management pearls presented include assembling and developing a multidisciplinary team and building functional referral networks. During hands-on surgical skills lab, participants will perform skin marking, glandular displacement techniques for intramammary flaps, aesthetic incision placement, and periareolar, crescent and donut mammaplasty. Also, participants will learn simple techniques to improve lumpectomy results and management of excess skin, “dog-ears”, and tissue during simple mastectomy without reconstruction. Course Objectives At the conclusion of this course learners will be able to: 1. Understand and incorporate knowledge of breast aesthetic assessment, macromastia and ptosis categorization as part of breast cancer surgical planning. Understand surgical outcomes based on tumor location. 2. Better understand strategies for aesthetic scar outcomes, options for incision placement based on cancer presentation and breast shape, and surgical techniques to preserve breast contour and minimize scaring. Learn how to improve visualization and exposure of tumors with aesthetic scar placement. 3. Apply techniques for donut /benelli mammaplasty with extension to address and access all quadrants of the breast. 4. Understand skin management techniques to produce aesthetic flat mastectomy, how variations in patient anatomy and body habitus impact choice of approach, and coding of these approaches. 5. Gain a working knowledge of level I and II oncoplastic techniques. Understand HPPIA compliant patient photographic image documentation and storage, and the role of these resources at diagnosis, in surveillance, and in preoperative counseling.