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.
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.
General anaesthetic risks involving the heart and lung, deep vein thrombosis
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.
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.
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
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)
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
General anaesthetic risks affecting the heart and lung
Capsular contraction causing hard, ill shaped appearance and movement of prosthesis
Rippling resulting in obvious wrinkling of implant edge
Enlarged nipple-areolar complex.
There are rarely any problems with nipple sensation or breast feeding.
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.
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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.
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