When do you start adjuvant radiation with areas of delayed wound healing after reduction mammoplasty?

Great question. I have cared for many patients with delayed healing post-lumpectomy (e.g., from infection, wound failure, etc.), and that experience is likely pertinent to the mammoplasty setting.

1. Once the wound is open, it is going to take many weeks/months to “fully” heal, and it is not practical...

I agree with the above. We see an increasing number of oncoplasties used in our population- 70% of women in our region choose it to get the benefit of both a lift to remove ptosis and improve breast symmetry in anticipation of radiation effects to the affected breast (contralateral procedure done as...

Over time, I have graduated to stricter guidelines for boost versus no boost, in keeping with guidelines based on age, grade, and margins. In our oncoplasty patients, who are almost all complex (lollipop incision in midline to periareolar, and lengthy inframammary incision) with volume rearrangement...

Thanks for the very informative answers. Following up on this question, would you offer a cavity boost? If so, what dose/fractionation? Concomitant or sequential?