Division of Plastic and Reconstructive Surgery, Emory University School of Medicine, Atlanta, GA.
Aesthet Surg J. 2020 Nov 17;40(Suppl 2):S55-S65. doi: 10.1093/asj/sjaa257.
Aesthetic concern is one of the main driving forces behind the popularity of the oncoplastic approach to breast conservation therapy. Oncoplastic options at the time of lumpectomy include volume replacement techniques such as flaps and volume displacement techniques such as the oncoplastic reduction. These techniques can be employed to ensure preservation of breast shape and contour, size and symmetry, inframammary fold position, and position of the nipple-areola complex. The importance of aesthetic outcomes is not only to improve overall patient satisfaction but also to minimize the need for revisional surgeries for shape and symmetry. The purpose of this review is to discuss ways to optimize the aesthetic result and to review the evidence behind aesthetic outcomes.
审美问题是推动保乳治疗的肿瘤整形方法普及的主要动力之一。在进行保乳切除术时，肿瘤整形的选择包括体积置换技术（如皮瓣）和体积移位技术（如肿瘤整形缩小术）。这些技术可以用来确保乳房形状和轮廓、大小和对称性、乳房下皱襞位置以及乳头乳晕复合体位置的保留。美观效果的重要性不仅在于提高患者整体满意度，还在于最大限度地减少因形状和对称性而需要进行的修正手术。本综述的目的是讨论优化美容效果的方法，并回顾美容效果的证据。
