Objective: Oncoplastic surgery was developed to allow for large
tumor excision and immediate
breast reconstruction with the goal of optimal breast shape and symmetry. Although initially used in women who underwent
lumpectomy for breast
malignancy, these techniques can be useful for cosmetic issues caused by benign
breast disease. We describe a modification of an inferior pedicle with Wise-pattern reduction
mammoplasty for oncoplastic reconstruction of a giant
fibroadenoma. Methods: A 30-year-old woman with size 32 DD breasts was referred by the surgical oncologist with a biopsy-proven
fibroadenoma of the right breast. Surgical oncology excised the mass, and immediate reconstruction was performed with an inferolateral pedicle Wise-pattern reduction technique. Results: Immediately postoperatively, the patient showed excellent symmetry. Follow-up postoperatively showed good wound healing, preserved symmetry, and a viable, sensate nipple. Conclusions: Oncoplastic
breast reconstruction in a reduction pattern technique after giant
fibroadenoma removal provides an excellent outcome, allowing for improved symmetry.