Practical Perspectives Regarding Patient Selection and Technical Considerations in Oncoplastic Surgery

Purpose of ReviewOncoplastic surgery is a form of breast conservation surgery that involves volume displacement and replacement techniques to reconstruct the breast after a partial mastectomy. We aimed to report our clinical experiences with support from the literature as to the optimal application of oncoplastic surgery with regard to patient and disease selection and presentation, and discuss common technical considerations.Recent FindingsBased on clinical experience and recent literature, oncoplastic surgery has several oncologic and reconstructive strengths including a decreased positive margin rate, high patient satisfaction, and additional benefit when applied to patients with both breast cancer and symptomatic macromastia.SummaryOncoplastic surgery constitutes an additional breast conservation option that is safe, well tolerated, and can provide autologous reconstruction after a large oncologic resection in a one-staged surgical effort that adds value for the appropriate breast cancer patient.