Round Block Mammaplasty One Technique for All Breast Quadrants

Scar placement has always been a bit of a concern for patients as well as surgeons; therefore, various periareolar oncoplastic techniques were introduced in an attempt to eliminate scars visibility, by limiting them to the periareolar region. Among these oncoplastic techniques, round block mammaplasty has recently been gaining more popularity. Round block mammaplasty is a level II volume displacement oncoplastic breast surgery technique involving adequate resection of the tumour while maintaining a good cosmetic outcome. Eighty-six patients who had round block mammaplasty over a period of 3 years were included in this retrospective study. The participants’ demography, breast cancer characteristics, postoperative complications and patients’ satisfaction were collected from their clinical records and their standard patient’s questionnaires. The standard patient’s questionnaire was completed by most patients as a mean of assessing patients’ outcome and satisfaction after a round block mammaplasty. Out of all 86 patients who underwent a round block mammaplasty, the average tumour size was 26 mm, and the average weight of the specimen was 52 g. Four patients (4.6%) had involved/close margins, two of which (2.3%) had re-excision in order to achieve clear margins and the other two patients (2.3%) required mastectomy. Twenty-six patients (41%) thought they had excellent results, 21 patients (33%) good results and 16 patients (26%) fair results. The round block mammaplasty technique can be used safely for management of all quadrants breast lesions with favourable cosmetic results and high degree of patient satisfaction.