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General information on medical treatment

What does an oncoplastic breast surgeon do?

An oncoplastic breast surgeon is a doctor specialized in breast cancer treatment, combining oncological surgery techniques with plastic surgery principles. This professional has in-depth knowledge about various breast cancer manifestations and masters reconstructive procedures that ensure aesthetically favorable results. Their role is fundamental in safely removing tumors while preserving the natural appearance of the breast as much as possible, contributing significantly to the physical and emotional well-being of patients during oncological treatment.

The importance of oncoplastic surgery in modern medicine

With increasing early diagnoses and breast cancer survival rates, oncoplastic surgery has become an essential specialty in contemporary oncology. The evolution of surgical techniques demanded the development of approaches that combine oncological safety and aesthetic preservation. This specialty goes beyond simple tumor removal, also focusing on immediate or delayed breast reconstruction. The oncoplastic surgeon is qualified to perform complex procedures that respect both oncological surgery principles and patient aesthetic expectations. The central purpose is to ensure that the treated person maintains their physical integrity, self-esteem, and quality of life during and after cancer treatment.

When to seek an oncoplastic breast surgeon?

If you or someone close to you has received a breast cancer diagnosis, it is advisable to seek specialized assistance in oncoplastic surgery. Some situations indicate the need for this specialist:

Breast cancer diagnosis When breast cancer is confirmed, consultation with an oncoplastic surgeon becomes fundamental. This specialist can plan the best surgical approach, considering both complete tumor removal and satisfactory aesthetic results.

Need for mastectomy For patients who need to remove the entire breast, oncoplastic follow-up is essential to discuss immediate or future reconstruction options, adapting the procedure to individual characteristics.

Breast-conserving surgery For smaller tumors where it is possible to preserve part of the breast, the oncoplastic surgeon uses specific techniques that reorganize remaining breast tissue, minimizing deformities and asymmetries.

Reconstruction after previous treatments Patients who have already undergone surgeries or radiotherapy can seek oncoplastic surgeons to correct asymmetries or deformities resulting from previous treatments.

Prevention in high-risk cases For people with genetic predisposition to breast cancer, the oncoplastic surgeon can provide guidance on prophylactic mastectomies with immediate reconstruction, contributing to significant risk reduction.

What is oncoplastic follow-up like?

Follow-up performed by the oncoplastic surgeon is personalized, with periodic evaluations to monitor surgical results and adjust strategies when necessary. This professional provides guidance on specific post-operative care, considering both oncological and aesthetic aspects of treatment.

Detailed surgical planning is fundamental to ensure satisfactory results. The oncoplastic surgeon performs thorough analysis of patient characteristics, including breast shape, tumor location, and skin quality, to determine the most appropriate technique.

Additionally, the doctor assists in managing emotional issues frequent after breast surgeries, such as adaptation to new body image and prognosis-related anxiety. When necessary, they refer to psycho-oncology specialists, offering an integrated care approach.

Techniques used by an oncoplastic surgeon

Oncological mammoplasty The specialist performs tumor removal followed by remodeling of remaining breast tissue, using mammoplasty techniques for aesthetically favorable results.

Reconstruction with tissue flaps The transfer of tissues from other parts of the body, such as abdomen or back, allows breast reconstruction after mastectomies, offering natural and lasting results.

Reconstruction with implants The professional uses expanders and breast implants to restore the volume and shape of the removed breast, frequently with the aid of dermal matrices for more natural results.

Areola-nipple complex reconstruction After breast volume reconstruction, the surgeon recreates the areola and nipple using skin grafts or medical tattooing, completing the aesthetic aspect of the breast.

Symmetrization surgeries Adjustment of the unaffected breast for better correspondence with the treated breast is performed to harmonize the final result and provide natural symmetry.

Correction of radiotherapy sequelae Treatment of tissues damaged by radiation, including contractures and vascular changes, is performed to recover tissue quality and improve aesthetic results.

How does the oncoplastic surgeon contribute to quality of life?

The oncoplastic surgeon is not limited to cancer treatment but promotes complete patient rehabilitation. They plan procedures that preserve femininity and self-esteem, enabling integral recovery after diagnosis. The simultaneous approach to oncological and aesthetic aspects allows more efficient interventions, reducing the number of necessary surgeries.

Breast cancer patients frequently face significant changes in their body image. The oncoplastic surgeon acts to minimize this impact, using techniques that preserve natural contours and symmetry, contributing significantly to psychological well-being during oncological treatment.

The difference between oncoplastic surgeon and other doctors

What distinguishes the oncoplastic surgeon from other medical professionals, such as traditional breast specialists or plastic surgeons, is their hybrid training that combines breast oncology and advanced reconstructive techniques. While conventional breast specialists can treat breast cancer, oncoplastic surgeons have specific skills to preserve or restore breast aesthetics during the same procedure. Their understanding of oncological treatment complexities associated with mastery of reconstructive techniques allows offering more comprehensive care appropriate to patients' physical and emotional needs.

How to choose the ideal oncoplastic surgeon for you?

Selecting the appropriate oncoplastic surgeon is essential for effective treatment and satisfactory results. For this, verify the doctor's qualifications and experience, considering specific training in breast oncoplasty, certifications, and history of procedures performed.

Additionally, consult doctor evaluations made by other patients. Specialized platforms like AvaliaMed offer opinions from people already treated, helping to identify well-evaluated professionals regarding oncological and aesthetic results of their surgeries. With this information, you can make a safer and more confident decision, ensuring the chosen surgeon meets your expectations in terms of both health and aesthetics.

How can the oncoplastic surgeon help in recovery after treatment?

After oncoplastic breast surgery, whether conservative or radical with reconstruction, the surgeon plays a fundamental role in recovery. This specialist coordinates the rehabilitation process, monitoring healing, providing guidance on special bra use, and adapting strategies to accelerate recovery and minimize complications.

The oncoplastic surgeon also acts in prevention and treatment of post-operative complications, such as seroma, infections, and scar changes. Their specialized follow-up ensures faster recovery and optimized aesthetic results over time.

Multidisciplinary treatment: The integrated approach in breast cancer

Prevention constitutes one of the fundamental pillars of the oncoplastic approach. The specialist dedicates themselves not only to surgical treatment but to early detection and guidance for high-risk patients. This includes regular follow-up of women with genetic mutations such as BRCA1 and BRCA2, plus guidance on prophylactic surgeries when indicated. Periodic imaging exams, breast self-examination, and clinical evaluation are essential for early identification of changes. The preventive approach helps diagnose tumors in early stages, facilitating less aggressive treatments with better aesthetic results.

Oncoplasty and multidisciplinary care: Working with other health professionals

Oncoplastic care frequently involves a multidisciplinary approach, with the surgeon collaborating with clinical oncologists, radiation oncologists, specialized physiotherapists, and psychologists. This collaboration allows broader evaluation of patient needs, considering physical, emotional, and functional aspects, beyond surgical treatment. Joint work between different specialists ensures complete and integrated care, improving quality of life and oncological outcomes. The oncoplastic surgeon frequently coordinates these actions, ensuring coherence in the global therapeutic plan.

Innovations in oncoplasty: The role of technology in breast cancer treatment

Technology has become an important ally in oncoplastic surgery. Tools such as 3D digital planning, image-guided surgery, and advanced biocompatible materials are increasingly used to ensure precision and superior results. These technological resources assist in pre-operative marking, determination of safe surgical margins, and detailed reconstruction planning. Modern oncoplasty leverages these advances to improve surgical techniques, offering less invasive procedures and increasingly natural results to patients.

The future of oncoplasty: Trends and advances

With increasing breast cancer incidence globally, oncoplastic surgery will continue evolving. New research seeks to improve reconstructive techniques and develop safer and more durable materials. Regenerative medicine and stem cell use have potential to revolutionize breast reconstruction, allowing more natural tissue regeneration. Minimally invasive surgery gains growing importance, reducing scars and recovery time. The oncoplastic surgeon will be an increasingly sought professional in this scenario of constant breast oncology transformation.

Why choose AvaliaMed for consultation with an oncoplastic breast surgeon

AvaliaMed offers a reliable way to find qualified oncoplastic breast surgeons for your treatment. The platform allows you to compare specialist doctors based on detailed evaluations from other patients, facilitating the choice of the ideal professional for your specific case. With transparent information about each doctor's training and specialization, you can make safer decisions about your oncological treatment.

AvaliaMed's differential lies in the simplicity of the scheduling process and reliability of available evaluations. The platform was developed thinking about the needs of patients seeking quality oncological treatment with satisfactory aesthetic results. Finding the right oncoplastic surgeon can transform your treatment experience, and AvaliaMed is committed to facilitating this difficult journey with practical tools and reliable information.

Frequently Asked Questions

What training is required for a surgeon to become an oncoplastic surgeon?
To become an oncoplastic surgeon, it's necessary to complete residency in general surgery, followed by specialization in mastology or oncological surgery. Then, the professional undergoes specific training in plastic surgery techniques and breast reconstruction, such as fellowship in oncoplastics. Many seek international certifications and participate in conferences to stay updated on the latest techniques.
How long does recovery take after oncoplastic breast surgery?
Recovery varies according to the type of procedure. Generally, light activities can be resumed in 2 to 3 weeks, with complete recovery after 6 to 8 weeks. Procedures involving flaps require more recovery time. The final aesthetic result is visible after 3 to 6 months, when complete healing occurs.
Is it possible to preserve nipple sensitivity after oncoplastic surgery?
Sensitivity preservation depends on tumor location and the technique used. In conservative surgeries, there's a greater chance of preservation, but temporary or permanent reduction may occur. Reconstructions after total mastectomy don't restore original sensitivity, although some patients may develop sensitivity over time.
How are post-surgical complications treated in oncoplastic procedures?
Post-surgical complications, such as seromas and hematomas, may require drainage or reintervention. Infections are treated with antibiotics and, in severe cases, with surgical debridement. Necrosis or implant problems may require corrective surgery. Continuous follow-up by the oncoplastic surgeon is essential to optimize results.
What are the criteria to determine if a patient is a candidate for oncoplastic surgery?
Eligibility for oncoplastic surgery depends on cancer stage, tumor size and location, general clinical conditions, and patient expectations. Multidisciplinary evaluation is essential to ensure the patient is the most suitable candidate for the procedure.
How does financing and health insurance coverage work for oncoplastic surgeries?
Health insurance coverage for oncoplastic surgeries varies, but breast reconstruction after cancer is generally covered in Brazil, according to ANS. Complementary aesthetic procedures may not be covered. It's advisable to verify specific coverage with the health plan before performing the procedure.
What technological advances are currently revolutionizing oncoplastic surgeries?
Technological advances, such as 3D imaging, advanced biomaterials, and radioisotope-guided tumor localization techniques, are transforming oncoplastic surgeries. Fat grafting with stem cells has also shown promising results, especially after radiotherapy, improving aesthetic outcomes.
How is breast symmetrization performed after unilateral oncoplastic surgery?
Breast symmetrization can be performed at the same surgical time or later, depending on the case. Techniques such as reduction mammoplasty or augmentation with implant are used to balance the unaffected breast. Radiotherapy can affect planning, and some patients choose to wait for result stabilization before performing symmetrization.
What are the psychological impacts of oncoplastic surgery compared to traditional mastectomy?
Oncoplastic surgery offers psychological benefits compared to mastectomy without reconstruction, such as better body image acceptance and lower incidence of depression and anxiety. Immediate breast reconstruction helps with self-esteem and emotional coping with cancer.
How does oncoplastic surgery integrate with other treatments like chemotherapy and radiotherapy?
Oncoplastic surgery is planned according to oncological treatments. If neoadjuvant chemotherapy is necessary, surgery is scheduled after tumor response. Radiotherapy can affect aesthetic results and skin elasticity, influencing the timing of breast reconstruction. The integrated approach optimizes both oncological and aesthetic results.
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