Mastectomy Surgery

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What is mastectomy surgery?

A mastectomy is the removal of the whole breast. It is the most extensive form of breast surgery performed for breast cancer. It may also be performed as risk-reduction surgery for patients at high risk of breast cancer, such as those with genetic mutations.

Why might a mastectomy be recommended?

There are several reasons why a mastectomy may be recommended. Some of these reasons include:

  • Large breast tumours

  • Multiple breast tumours

  • Aggressive breast tumours

  • Breast conservation surgery which fails to achieve clear margins

  • Patients unable to receive breast radiotherapy

  • Risk-reduction surgery

Are all mastectomies are the same?

There are several different types of mastectomy. These include:           

  • Total mastectomy: removal of the whole breast, including the nipple.

  • Subcutaneous mastectomy: removal of the whole breast and nipple, leaving behind most or all of the skin of the breast. This is type of mastectomy is performed alongside a breast reconstruction.

  • Nipple-sparing subcutaneous mastectomy: this is a type of subcutaneous mastectomy which leaves the nipple in place.

Not everyone is suitable for all types of mastectomy. This will be discussed further with you at your appointment.

Can I have a breast reconstruction?

Your mastectomy surgeon will provide you with information about breast reconstruction. There are several options available. Please see Breast Reconstruction Surgery link for more information.