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Mastectomy

Conserving-Surgery

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Mastectomy  is the removal of all breast glandular tissue. Depending on the pathology of the  breast  cancer, either the skin envelope is left or the majority removed. This is essentially the difference between a skin sparing mastectomy  and a radical modified mastectomy which was the operation of choice in the past.

Indications to have a Mastectomy

Proportionally  large tumour size.

Avoid radiation post operatively.

Patient preference.

Small breast size where a wide local excision and radiation would not be an aesthetically good outcome.

Prophylactically – to reduce the risk of developing a cancer in that breast  by 98%. Consideration in patients with a strong family history of breast cancer, BRCA positive patients, young patients already diagnosed with one breast cancer.

Procedure

Performed under General Anaesthesia.

Time in Hospital:

Ranges from 3-5 days.

If patient is suitable, may be discharged with drains insitu and time in hospital is 1-2 days.

Incision:

  • Modified  Radical mastectomy – Slight diagonal across chest wall as low as the cancer position will allow.
  • Skin sparing mastectomy:
    • Inframammary fold (lower breast crease where the breast meets the abdomen).
    • Periareolar (around the areolar margin).
    • Over the tumour site.
    • Inverted T  – If there is a very large and/or posed (droopy) breast with excessive skin envelope.

Time in surgery:

Ranges from 1-2 hours per breast (without reconstruction).

1-2 drains depending on whether an axiillary clearance has occurred.

Potential Complications

Bleeding

Wound infection

Seroma (fluid collection)

Post Operative Care

No driving for 2-3 weeks

No heavy lifting for 4 -6 weeks

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