Montgomery Mom has Oncoplastic Reduction & Implant Exchange to fix Lumpectomy

This patient had a large area of right breast microcalcifications identified on her annual screening mammogram. Biopsy demonstrated atypical ductal hyperplasia (ADH), raising concern for the possibility of a breast cancer in the remaining tissue. Her breast surgeon recommended a lumpectomy to remove the entire area of suspicious calcifications. A significant deformity was anticipated, so the patient was referred to Albright Plastic Surgery to discuss oncoplastic breast reduction in conjunction with her lumpectomy. She expressed that she felt her breasts were too large after a previous retropectoral breast augmentation with 600 cc high profile saline implants. Dr. Albright proposed that the desired breast reduction could be achieved by both removing additional tissue and also switching out her implants for smaller volume, less projecting devices. The patient chose to change from saline to silicone gel implants for a more natural feeling result. Wise pattern reduction-mastopexy with a superior medial pedicle was performed. On the right, this was modified to rearrange breast tissue to fill the lumpectomy cavity. Her 600 cc saline implants were replaced with smooth, 275 cc moderate profile Allergan Natrelle Inspira SoftTouch cohesive silicone gel implants. The patient avoided a significant lumpectomy deformity and noted welcome relief from the decreased breast weight.