# Optimizing aesthetic results in Asian women with giant phyllodes tumors over 10 cm: the periareolar mastopexy approach

## TL;DR

A new surgical technique improves both tumor removal and breast appearance in Asian women with large phyllodes tumors.

## Contribution

The periareolar mastopexy technique is introduced for optimizing aesthetic outcomes in giant phyllodes tumor surgery.

## Key findings

- The periareolar mastopexy technique enables complete tumor removal and optimal breast contouring.
- This approach minimizes visible scarring and enhances patient satisfaction with cosmetic outcomes.
- It is particularly effective for small-breasted Asian women with tumors over 10 cm.

## Abstract

Giant phyllodes tumors, typically exceeding 10 cm in size, are neoplastic lesions with malignant potential. Surgical excision in small-breasted Asian women presents unique challenges where expected poor aesthetic outcomes may delay timely medical intervention. The periareolar mastopexy technique offers a comprehensive solution, enabling complete tumor removal alongside mastopexy to achieve optimal breast contouring. This approach consistently delivers favorable aesthetic outcomes, enhancing symmetry and contour. Additionally, the periareolar approach minimizes visible scarring, thereby enhancing patient satisfaction with the cosmetic outcome. Herein, we present a case report of Asian women with giant phyllodes tumors exceeding 10 cm, successfully managed using the periareolar mastopexy technique, emphasizing the importance of optimizing aesthetic outcomes in these challenging cases.