Those who do not choose reconstruction may elect to wear a prosthesis or artificial breast that they can insert into a bra. worries about cost for people without insurance.concerns about taking tissue from other areas or using an implant.the desire to resume daily activities more quickly.health concerns that could make later surgeries dangerous. Many women select this course for various medical and personal reasons. What if a woman does not choose reconstruction?Īccording to, an estimated 44% of women undergoing mastectomy do not choose to follow the procedure with breast reconstruction. Here, learn more about the different types of mastectomy. A fever may also indicate a systemic infection. These treatments can also affect wound healing.Ī woman should monitor the wound for signs of infection, such as warmth, redness, or discharge. The type of mastectomy and reconstruction often dictate the duration of the hospital stay and length of recovery time.įollowing the mastectomy, a doctor may recommend radiation therapy or chemotherapy to shrink a tumor or destroy any remaining cancer cells. Larger mastectomies, however, often mean a hospital stay. Some procedures, such as a lumpectomy, do not typically require a stay in the hospital. The goal of a mastectomy or any oncologic surgery is to remove only as much tissue as is necessary to treat cancer, which can help limit any scarring.Ī breast surgeon and oncologist will discuss the options and help an individual reach the best decision in their case.Īfter surgery, a woman will likely have drainage tubes and need several weeks to recover. The surgeon often leaves the chest wall intact.Ī modified radical mastectomy will result in a large, visible scar on the chest. Similar to a simple mastectomy, this approach involves removing all breast tissue plus lymph nodes in the breast and armpit. The surgeon typically makes an oval shaped incision that goes around the nipple and across the width of the breast, leaving a visible scar across the chest. They may also vary the amount of breast skin they remove during the procedure, depending on plans for reconstruction. Sometimes, a surgeon will also remove the lymph nodes as well if they show signs of cancer. This type of mastectomy is a surgical approach that involves removing the breast, areola, and nipple. Placing the incision in the crease under the breast can hide the scar more. It will result in a scar on the side or at the base of the breast. People with smaller breasts are likely to benefit from this approach. This procedure involves preserving the skin and areola. Nipple sparing mastectomyĪ person who is due to receive a preventive mastectomy or has early stage breast cancer may be a candidate for a nipple saving mastectomy. Saving most of the breast skin allows the surgeon to start immediate reconstruction with an implant or tissue from elsewhere in the body.Ī skin sparing mastectomy usually leaves a visible, medium-to-large scar on the front of the breast. However, the surgeon will preserve the remaining skin of the breast. Skin sparing mastectomyĪ surgeon will usually choose this approach for women who want to follow the procedure with immediate breast reconstruction.Ī skin sparing mastectomy involves removing the breast, areola, nipple, and one or more lymph nodes. Women who have a lumpectomy will usually require radiation therapy after surgery. The resulting breast might also have a divot or depression if it is small and the mass removed is particularly large. With a partial mastectomy, a surgeon often leaves the majority of the breast intact, and reconstruction is not usually necessary.ĭepending on the size of the breast and amount of tissue removed, it is possible that the breast may be smaller than the one on the other side. A surgeon may hide the scar by making the incision in the crease beneath the breast or around the nipple. Sometimes, the surgeon will also remove a section of the lining that covers the chest muscles.Ī lumpectomy will usually leave a small linear scar on the breast. Partial mastectomy or lumpectomyĪ partial mastectomy involves removing the tumor and some surrounding breast tissue. While all forms of mastectomy will result in some scarring, the extent of scarring depends on the type.
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