Secondary Reconstruction of Partial Defects
Partial defects can occur after BCT or oncoplastic operations. They can be primarily corrected (see Chap. XXX) or treated secondarily. These defects can be pure volume defects, i.e. the breast has less volume than the opposite side. Or removal of breast tissue and skin leads to a combined volume and skin deficit, which changes the breast shape. This also manifests itself in the asymmetry of the breasts. However, the removal of the skin causes a change in the shape of the breast and usually a distortion of the NAC. The reconstruction of these breasts is difficult. A further complication is that the breasts are usually irradiated as part of oncological therapy. The tissue of these patients in particular is usually somewhat firmer and less elastic. In addition, interventions after radiation can lead to increased wound-healing disorders.