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In a BCT, the focus is on an oncologically safe local resection following radiation therapy. Oncoplastic surgery includes wider margins and a partial mastectomy to (1) allow better local oncologic control. (2) The breast is shaped to improve the aesthetic outcome, which includes (3) the contralateral side, as symmetry is an essential part of breast aesthetics. (4) Some studies advocate a primary reconstruction of the breast avoiding cavities which in turn lead to better results after radiation therapy.
- 9.Tong WM, Baumann DP, Villa MT, Mittendorf EA, Liu J, Robb GL, Kronowitz SJ, Garvey PB. Obese women experience fewer complications after Oncoplastic breast repair following partial mastectomy than after immediate total breast reconstruction. Plast Reconstr Surg. 2016;137:777–91.CrossRefGoogle Scholar