A therapeutic mammaplasty is an oncoplastic procedure that combines breast cancer removal and plastic surgery to the breast. It uses the principles of a breast reduction and leaves the breast smaller and often with the nipple in a higher position. We may be able to remove a larger amount of tissue and thus it may be possible to remove a larger breast cancer that may have been considered for a mastectomy.
The scarring from this procedure is very similar to a breast reduction. There is a scar around the nipple and then a vertical scar meeting a horizontal scar at the T junction. This area may take some time to heal. It is possible to offer a breast reduction on the opposite side either at the same time of the initial surgery or at a later date. It is worth remembering that after a therapeutic mammaplasty, radiotherapy is likely to be offered which may cause some shrinkage of the breast tissue.