What is oncoplastic breast surgery, and who is the ideal candidate?

Written by: Dr Tasha Gandamihardja
Published:
Edited by: Conor Lynch

Top Doctors recently quizzed highly experienced consultant oncoplastic breast surgeon, Dr Tasha Gandamihardja, on all things oncoplastic breast surgery, including who the ideal candidate for oncoplastic breast surgery is. 

What is oncoplastic breast surgery?

Oncoplastic surgery is a type of surgery that uses plastic surgical techniques to give an acceptable breast appearance whilst not compromising the surgical removal of the cancer. It covers all aspects of breast cancer surgery, from breast conservation surgery to mastectomy and reconstruction.

 

Types of oncoplastic surgical techniques include:

 

  • Wide local excisions or lumpectomies
  • Removing cancers in a breast reduction type of surgery i.e. therapeutic mammaplasty
  • Using local flaps to replace volume within the breast after the cancer has been removed
  • Mastectomy with reconstruction

 

Who is an ideal candidate for oncoplastic breast surgery?

Patients with breast cancer are ideal candidates for oncoplastic breast surgery.

 

Can all breast cancers be treated by oncoplastic breast surgery?

Yes, all breast cancers can be treated by some type of oncoplastic breast operation.

 

What is breast reconstruction surgery?

Breast reconstruction surgery is when we make someone a new breast when they have been recommended to have a mastectomy and don’t want to go flat-chested. We can make a new breast either using an implant or using your own body tissue such as one of your back muscles, or your tummy fat. 

 

Is breast reconstruction a major surgery?

It depends on the type of breast reconstruction you have. If you are having implant-based reconstruction surgery for example, you can go home on the same day. This is not the case if you use your own body tissue such as a DIEP reconstruction, where you use the tissue from your tummy. This surgery is longer, more invasive, and requires a hospital stay of up to five days or so. So, it depends on the surgery.

 

To book a consultation with Dr Tasha Gandamihardja, simply head on over to her Top Doctors profile today. 

By Dr Tasha Gandamihardja
Surgery

Miss Tasha Gandamihardja is a highly-respected consultant oncoplastic breast surgeon at The Holly Private Hospital in Buckhurst Hill, Essex and also practices for the NHS at Broomfield Hospital in Chelmsford. Her specialisms include breast cancer surgery, breast lumps and breast pain, alongside breast reconstruction, nipple discharge and breast surgery

Her specialist role as an oncoplastic breast surgeon means that Miss Gandamihardja performs breast surgery which incorporates plastic surgery techniques. Her working method results in an assured aesthetic outcome and Miss Gandamihardja, who will see patients with any breast problem, prides herself in evidence-based care which is tailored to suit her patients' needs. 

Miss Gandamihardja, who has been a breast surgeon for over a decade, also specialises in treating patients that have a family history of breast cancer and holds one-stop breast clinics

Her patient-led approach is complemented by her esteemed qualifications and clinical research experience. Miss Gandamihardja has an MBBS from the Royal Free Hospital School of Medicine, an MEd in Surgical Education from Imperial College London and a BSc from University College London (UCL). Her surgical training was undertaken at several teaching hospitals including the Royal London Hospital, Charing Cross Hospital and St Mary's Hospital. 

Furthermore, Miss Gandamihardja has a FRCS from the Royal College of Surgeons of Edinburgh and her interest in molecular biology of cancer is reflected in her PhD in Molecular Biology from UCL where part of her research work was undertaken as a research fellow at the University of Southern California (USC) in Los Angeles. Alongside her USC fellowship, Miss Gandamihardja was awarded an Oncoplastic Fellowship at the Great Western Hospital and the Royal Infirmary in Glasgow.

Miss Gandamihardja's research has been published in several peer-reviewed journals, has presented at national and international meetings and is a passionate teacher of junior doctors. She also shares her expert knowledge via her 'My Breast, My Health' blog and podcast

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