9811-1913 Spear
Spear SL, Burke JB, Forman D, Zuurbier RA, Berg CD.
Experience with reduction mammaplasty following breast conservation surgery and
radiation therapy.
Plast Reconstr Surg. 1998 Nov;102(6):1913-6. PMID: 9810985
Division of Plastic Surgery, Georgetown University Medical Center, Washington,
DC 20007, USA.
Little is known about the outcome of breast reduction in the previously radiated
breast. With the increased popularity of breast conservation in the management
of breast cancer, it is inevitable that more women with breast cancer who have
had a breast radiated will be seeking breast reduction. Although it would be
expected that reduction of the radiated breast would be more challenging and
would yield less-pleasing results, it has been unclear whether reduction in the
radiated breast could be safely performed without interfering with mammography
and cancer surveillance. Our experience using different techniques in three
patients demonstrates that such reductions can be effectively and safely done if
certain principles are followed. Pedicles should be designed to be broader and
shorter than usual, and breast flaps should be undermined or elevated either
minimally or not at all.
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