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Contralateral Breast Symmetrisation

Conserving-Surgery

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The contralateral (unaffected) breast will generally be different and not symmetrical after a wide local excision or mastectomy with reconstruction.

This breast is an important consideration in breast oncoplastic surgery.

Consideration ranges from a breast lift, breast reduction, breast augmentation or prophylactic

risk reduction mastectomy with reconstruction.

Timing can be at the time of surgery of the affected breast cancer side, or delayed.

Symmetrisation Procedures

Breast Reduction

PROCEDURE:

Excess skin and underlying glandular tissue is removed under general anaesthetic, leaving  faint , well hidden scars, around and vertically below the nipple, and in the lower breast fold where the bra band sits. (Inverted T Scar)

The procedure take about  1-3 hours.

One drain tube for 24-48 hours post operatively

 Discomfort subsides after a few days, and  swelling and bruising, in a couple of weeks.

 A soft support bra is used as a dressing from the time of the surgery.

No driving for two weeks.  May return to non physical work two weeks after surgery.

 

POTENTIAL COMPLICATIONS:

General anaesthetic risks involving the heart and lung, deep vein thrombosis

Bleeding

Infection

Wound breakdown

Changed (increased or decreased) sensation to nipple

Loss of nipple-areolar complex (partial/full)

Rarely problems with breast feeding

 Keloid or hypertrophic  (raised/red) scar.

Breast Lift (Mastopexy)

A  similar procedure to reduction surgery, but only removing excess skin, and moving the underlying breast tissue to a more attractive position , including repositioning the nipple-areolar complex.

PROCEDURE:

Scar is slightly smaller inverted T combined with scar around the areolar margin

No drain required

Overnight stay in hospital

Soft compression bra used as the dressing

No driving for 2 weeks

No heavy lifting for 6 weeks

 

POTENTIAL COMPLICATIONS:

Bleeding

Infection

Keloid scar

Breast Augmentation

PROCEDURE:

Type and size of prosthesis is discussed and needs to be symmetrical with affected breast and therefore needs to be smaller.

Prosthesis can either be round or more natural tear shaped  similar to the prosthesis in the reconstructed breast

Placed under the chest muscle (pectoralis major)

One drain

1-3 days in hospital if a delayed procedure otherwise the breast cancer operation dictates length of time in hospital

Minimal discomfort or bruising

Soft compression support bra is used  as a dressing

Return to driving and nonphysical work two  weeks after procedure

 

POTENTIAL COMPLICATIONS:

General anaesthetic risks affecting the heart and lung

Bleeding

Infection

Capsular contraction causing hard, ill shaped appearance and  movement of prosthesis

Rippling resulting in obvious wrinkling of implant edge

Stretch marks

Enlarged nipple-areolar complex.

There are rarely any problems with nipple sensation or breast feeding.

What’s the next step?

The next step is to book a consultation with our qualified team.

You can book your treatment online or call our friendly team on 03 9041 8445.

Professional Associations and Memberships

Contact

To assist patients, Dr Yap consults and operates at a number of locations across Melbourne.
There is a centralised booking process from the main rooms.

Main Rooms:
St Vincent’s Private
Suite 8, Level 4,
55 Victoria Parade,
Fitzroy 3065

Other Locations:
The Valley Pvte, Cnr Police & Gladstone Road., Mulgrave 3170

Melbourne Eastern Pvte, 157 Scoresby Rd, Boronia, 3155

Ringwood Pte, 36 Mt Dandenong Rd., Ringwood East 3135

Latrobe Pvte, Cnr Plenty Rd. & Kingsbury Dv.,Bundoora 3083

Reservoir Private, 73 Pine St., Reservoir 3073

Phone Number
03 9041 8445

Mobile Number
0413 162 462

Fax Number
03 9041 8445

Email
dr.nicole yap@gmail.com

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© 2022 Dr Nicole Yap