This document discusses level 1 oncoplastic surgery techniques, which are simple breast reshaping principles that can be performed without plastic surgery training. These techniques aim to allow for wider excisions for breast conservation while minimizing cosmetic deformities. They include undermining skin and the nipple-areolar complex, recentralizing the nipple, and using glandular flaps or sutures for immediate reshaping. Level 1 techniques can potentially solve 90% of cases and reduce positive margin and reexcision rates.

1. ONCOPLASTIC SURGERY Level 1 techniques : Simple principles Krishna B. CLOUGH, Claude NOS, Isabelle SARFATI

3. ONCOPLASTIC SURGERY CLASSIFICATION Ann Surg Oncol 2010

8. CONSERVATIVE SURGERY : A CLASH OF INTERESTS

11. “ RED ZONES "

13. SKIN UNDERMNING

14. SKIN UNDERMINING

15. BREAST DENSITY : BIRADS CLASSIFICATION 1 2 3 4

16. NAC UNDERMINING

17. NAC UNDERMINING

18. NAC UNDERMINING

19. WIDE EXCISION FROM SKIN TO MUSCLE

21. WIDE EXCISION

22. BREAST RESHAPING ?

23. BREAST RESHAPING : GLANDULAR FLAPS

24. GLANDULAR FLAPS

25. GLANDULAR FLAPS

26. GLANDULAR SUTURE

27. ROTATIONAL GLANDULAR FLAPS

28. ROTATIONAL GLANDULAR FLAP

29. ROTATIONAL GLANDULAR FLAP

30. PREVENT NAC DEVIATION ? RE-CENTRALIZATION

34. Upper inner Q Upper outer Q

35. BCT FOR SUBAREOLAR CANCERS

36. WIDE CENTRAL EXCISION : RESHAPING

37. WIDE CENTRAL EXCISION : RESHAPING