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Biplanar Oncoplastic Surgery: A Novel Approach to Breast Conservation for Small and Medium Sized Breasts

Nahabedian, Maurice Y. M.D.; Patel, Ketan M. M.D.; Kaminsky, Alexander J. M.D., M.P.H.; Cocilovo, Costanza M.D.; Miraliakbari, Reza M.D.

doi: 10.1097/PRS.0b013e3182a3bf47
Breast: Ideas and Innovations
Video Discussion

Summary: Biplanar oncoplastic surgery represents a novel technique with which to address partial breast reconstruction defects in small to medium sized breasts. Traditional oncoplastic volume displacement techniques may correct contour irregularities but do not address volumetric asymmetries. Volume replacement techniques classically rely on autologous tissue flaps. A biplanar approach, with a combination of glandular rearrangement techniques and volume enhancement with submuscular implants, can result in an alternative approach in select patients to achieve symmetry.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.

VIDEO DISCUSSION BY JOHN Y. S. KIM, M.D., IS AVAILABLE ONLINE FOR THIS ARTICLE.

Washington, D.C.; and Falls Church, Va.

From the Department of Plastic Surgery, Georgetown University Hospital; and Inova Fairfax Hospital.

Received for publication April 6, 2013; accepted April 30, 2013.

Disclosure: Dr. Nahabedian is a member of the speaker’s bureau for LifeCell Corp. (Branchburg, N.J.). The other authors have no conflicts of interest or financial disclosures. No funding was used for the preparation of this article.

A Video Discussion by John Y. S. Kim, M.D., accompanies this article. Go to PRSJournal.com and click on Video Discussions in the “Videos” tab to watch.

Maurice Y. Nahabedian, M.D., Department of Plastic Surgery, Georgetown University, 3800 Reservoir Road NW, Washington, D.C. 20007, drnahabedian@aol.com

©2013American Society of Plastic Surgeons