Combined Partial Breast Reconstruction: An Extreme Oncoplastic Procedure for the Lateral Breast

The Wise pattern therapeutic mammoplasty has facilitated breast conserving surgery in the face of large breast cancers.With extended and secondary pedicles, big cancers can be removed from the upper pole of large and ptotic breasts in inner, central or outer quadrants.However, mastectomy has traditionally been required when resection volumes exceed the capacity of this procedure.By utilising the addition of a lateral intercostal artery perforator (LICAP) flap to an extended pedicle therapeutic mammoplasty, we describe two cases in which breast conservation was achieved in this circumstance.