Inferior Pole Adipose Dermal Flap for Breast Reconstruction: A Novel Oncoplastic Technique for Breast-Conserving Surgery

Abstract Background Breast cancer is a prevalent malignancy among women, and advancements in treatment have shifted focus to enhancing both survival and quality of life. Oncoplastic surgery integrates oncological safety with aesthetic considerations. Objectives The authors of this study aim to evaluate the efficacy of the inferior pole adipose dermal (IPAD) flap for lower pole reconstruction in breast-conserving surgery (BCS). Methods A retrospective cohort study was conducted involving patients who underwent BCS with IPAD flap reconstruction. Inclusion criteria comprised female patients over 18 years with at least 12 months of follow-up. Data collected included demographics, clinical history, surgical details, complications, and patient satisfaction, assessed using the Visual Analog Scale (VAS). Results The study included 12 patients with a mean age of 52.7 years and a mean BMI of 28. Four patients (33.3%) required integration of a perforator flap for additional volume. No major complications, such as infections or flap necrosis, were observed. Minor complications included lower pole retraction (16.6%) and inferior dehiscence (8.3%). Patient satisfaction was high (VAS 7.5), and aesthetic outcomes were rated positively by surgeons (7.2). Adjuvant radiotherapy did not adversely affect flap viability. Conclusions The IPAD flap may be a viable and effective technique for lower pole reconstruction in BCS. This technique is particularly beneficial for patients with adequate breast volume. The authors of this study underscore the importance of personalized surgical planning and a multidisciplinary approach to optimizing breast cancer treatment. Level of Evidence: 4 (Therapeutic)