A New Oncoplastic Surgical Technique in Breast Lower Inner Quadrant Tumors; Banana Incision Mammoplasty

INTRODUCTION: Oncoplastic breast surgery provides breast cancer patients with the opportunity to remove more breast tissue while maintaining aesthetic outcomes. The choice of surgical method depends on the tumor’s location in the breast quadrant, breast size, tumor-to-breast ratio, and the extent of breast sagging. The lower inner quadrant tumors, having less breast tissue, pose greater cosmetic challenges, making oncoplastic breast surgery increasingly significant. This article introduces the ‘banana incision mammoplasty’ technique, specifically designed for lower inner quadrant tumors.
METHODS: The technique involves a concave, banana-shaped incision extending from the areola to the medial aspect of the breast fold and then superiorly. The incision’s lower end terminates 2-3 cm above the inferior breast fold.
RESULTS: The banana incision mammoplasty, tailored for lower inner quadrant breast tumors, is versatile, suitable for all breast sizes. This technique, as we described for these specific tumors, shows a complication rate (including wound infection, seroma, hematoma) comparable to other mammoplasty methods. Notably, the banana incision mammoplasty involves a smaller incision and avoids skin tension by preparing only the glandular flap.
DISCUSSION AND CONCLUSION: The banana incision mammoplasty is poised to be recognized in medical literature as a reliable oncoplastic surgery technique. It allows for extensive surgical resection while ensuring favorable cosmetic results.