Modified inferior-based oncoplastic technique for upper-inner- quadrant breast cancers

Background The use of oncoplastic surgery techniques in breast-conservation surgery (BCS) provides a wide range of procedural choices for achieving the best oncologic and cosmetic results. Breast surgeons face a challenge in conducting upper-inner-quadrant (UIQ) radical excision with an acceptable cosmetic result. Aim The aim was to demonstrate a new technique for reconstructing UIQ excision defects with oncoplastic inferior-dependent dermoglandular reshaping to achieve a satisfactory cosmetic outcome when undergoing radical breast cancer excision. Patients and methods A total of 46 patients with UIQ breast cancer were operated on between January 2016 and August 2020. The cosmetic result, postoperative complications, and resection margins were all evaluated. Results The complication rate was 10.8% after 15 months of follow-up (range: 8-24) (marginal skin necrosis, seroma formation, and wound infection). In every case, the surgical margins of resection were negative. Overall satisfaction was rated excellent by 39 patients (84.7%), decent by five patients (10.8%), and average by two patients (4.3%). Conclusion In terms of free surgical margins, resection speeds, and excellent cosmetic results, our methodology provides a good option for the reshaping that accompanies UIQ breast cancer.