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Beauty and the Beast: Management of Breast Cancer After Plastic Surgery

Bleicher, Richard J. MD*; Topham, Neal S. MD*†; Morrow, Monica MD*

doi: 10.1097/SLA.0b013e318161b40f
Original Articles

Objectives: Cosmetic surgery procedures increase in incidence annually, with 11 million performed in 2006. Because breast cancer is the most frequently occurring malignancy in women, a personal history of cosmetic surgery in those undergoing treatment for breast cancer is becoming more common.

Methods: This review identified key studies from the PubMed database, to consolidate existing data related to treatment of breast cancer after plastic surgery. Data were reviewed for factors affecting breast cancer treatment after breast augmentation, breast reduction, abdominoplasty, and suction lipectomy.

Results: There are little comprehensive data on the management of breast cancer after plastic surgical procedures. Plastic surgery may affect diagnostic imaging, surgical options, and radiotherapy management. Breast augmentation and reduction are two of the most common cosmetic procedures performed and knowledge of their influence on the incidence, diagnosis, and treatment of breast cancer is important for proper management.

Conclusions: Plastic surgery does not significantly affect breast cancer outcomes but does present management challenges that must be anticipated when deciding various treatment options. Knowledge of the existing literature may be helpful in discussing those options with patients and planning the multidisciplinary approach to this malignancy.

Because cosmetic surgery procedures increase in incidence annually and breast cancer is the most frequently occurring malignancy in women, a personal history of cosmetic surgery in those undergoing treatment for breast cancer is becoming more common. This review discusses the current status of factors that must be considered during the evaluation and treatment of breast cancer after cosmetic surgery.

From the *Department of Surgical Oncology and †Division of Plastic and Reconstructive Surgery, Fox Chase Cancer Center, Philadelphia, Pennsylvania.

Reprints: Richard J. Bleicher, MD, Department of Surgical Oncology, Fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111. E-mail: richard.bleicher@fccc.edu.

© 2008 Lippincott Williams & Wilkins, Inc.