Therapeutic mammoplasty is a type of surgery to save the breast. This procedure involves breast cancer removal combined with breast reduction surgery or breast lift. With therapeutic mammoplasty, the breast is reshaped and the nipple is made higher. It may be suggested if your breasts are big and you want them to be smaller, or if the area that needs to be removed is big compared to the size of your breast.
After a therapeutic mammoplasty, the blood flow to the nipple may not be enough, and part or all of the nipple may die. This happens about once in 100 times, but your risk increases if you smoke, have diabetes, or have very sagging breasts. If your risk of this is very high, your doctor will tell you and may suggest that the nipple be cut off as part of your surgery.
A therapeutic mammoplasty has a number of benefits:
If you want to find out if you are a good candidate for therapeutic mammoplasty, give us a call today to set up a meeting with Dr Mansi Chowhan. She is an accomplished surgical oncologist who has been active in the medical industry for more than 12 years.
On the day of the surgery, your doctor will mark your breasts and may take pictures of them. The anesthesiologist will also be there.
During the surgery, the tumour and the tissue around it are taken out first. Then, the shape of the breast is changed and the nipple is moved. The length of the surgery depends on the method used, but there are usually three different ways to do this operation:
Round block mammoplasty: A small piece of skin is taken from the areola, which is the dark skin around your breast. If the cancer is in the inner or upper part of the breast, your doctor will use this method. After the cancerous tissue is taken out, the areola is stitched up with stitches that dissolve over time. This method leaves a scar in the shape of a donut around the nipple.
Mammoplasty with a vertical scar: Again, a small circle of skin is cut away from around the areola, but this time, your surgeon will also cut down the middle of the lower part of the breast in a vertical line. This is done to get rid of cancer in the bottom part of the breast. After the tissue is taken out, the skin is stitched back together and the nipple is moved up higher than it was before. This method leaves a lollipop-shaped scar around the nipple and under the breast.
Wise-pattern breast surgery: The same cuts are made as before, but an extra one is made along the breast fold. With this method, your doctor can remove cancer from any part of the breast. It happens a lot and leaves a scar that looks like an anchor.
When you get a therapeutic mammoplasty, you will have more scars, and the surgery will take longer because it is more complicated. Your surgeon will tell you where the scars are likely to be on your breast, but in general, they will go around your areola (the dark skin around your nipple) and then straight down and possibly also along the fold underneath your breast.
After therapeutic mammoplasty, you are more likely to have problems with your wounds healing or to get an infection. This can delay your other treatments, like chemotherapy and radiation, because wounds can’t be treated until they are healed.
After surgery, your doctor will tell you how to care for your wound and breasts. Right after the surgery, you should wear a soft, supportive bra for up to six weeks, until the breast has fully healed.
Don’t drive, lift heavy things, or do the strenuous exercise until you feel better. You will also need to take time off work, usually about 2 weeks. Talk to your boss about this ahead of time. For about two weeks, you should sleep on your back at night.
In about 1 week, your surgeon will want to check on how well the breast is healing and talk to you about the results.
If you feel sick, have a high temperature, are throwing up, or have a lot of redness on your skin, go to your doctor or the emergency out-of-hours service. You might have an infection, and a doctor will give you antibiotics to treat it.
Therapeutic mammoplasties work best for people with large breasts who are willing to have their breast size reduced after treatment for cancer. People with sagging breast tissue (breast ptosis) or very big, heavy breasts may be glad to know that they can have breast reduction surgery simultaneously with tumour removal. But it can also help people who have smaller breasts that hang down.
After this surgery, you can expect to stay in the hospital for one night, especially if you have a bilateral therapeutic mammoplasty. You might need drains on your wounds to help reduce swelling, but these are usually taken out before you are released from the hospital. After the surgery, you won’t be able to drive for at least two weeks, and you should stay away from hard work for a few weeks.
After surgery, wounds are protected with waterproof glue dressings. You can shower, and will be required to keep your wound site clean.
Most of the time, oncoplastic breast conservation surgery is safe. As with any surgery, there is a chance that something could go wrong, but you should know about these risks before the surgery.
Dr Mansi Chowhan is a well-known surgical oncologist who has worked in his field for more than 12 years. She is an expert in breast oncoplastic surgery, head and neck surgery, and reconstructive surgery, which makes her a very good surgeon.
Dr Mansi has been a doctor for more than 12 years and has worked at some of the best hospitals in the Delhi-National Capital Region (NCR), like Fortis Healthcare (Delhi and Gurgaon), Artemis Hospital (Gurgaon), Paras Hospital (Gurgaon), and the Asian Institute of Medical Sciences (Faridabad).
Dr. Mansi Chowhan
Oncoplastic Breast Surgeon-Surgical Oncologist
MS (Gold Medalist), FIAGES, MCh Breast Oncoplasty (UK), Fellow Breast Surgery (Paris), Fellow Head & Neck Surgery, IFHNOS – MSKCC (New York)
Dr. Mansi Chowhan is an expert Oncoplastic Breast Surgeon with experience of more than 14 years and has been awarded with a gold medal during her surgical post-graduation. Dr. Mansi is well-trained from world renowned surgeons and cancer institutions like the Paris Breast Centre, Memorial Sloan Kettering Cancer Centre (New York), University of East Anglia (U.K.) and Tata Memorial Hospital, Mumbai. She is a skilled surgeon with over 14 years of experience in some of the best hospitals in the Delhi- NCR region including Fortis Hospital, Artemis Hospital, Paras Hospital and Asian Institute of Medical Sciences, CK Birla Hospital. She works with utmost dedication and compassion to deliver international standard and personalized cancer care to the patients.
First of all, I would like to thank Dr. Mansi Cowhan for the effort she made to remove a tumor and lymph nodes from the breast of the patient Rawaa Abd Abbas from Iraq, and to follow up on the patient’s condition and gave her the right medical instructions after the operation. Now patient is in a very good health. My advice for all patients who are suffering from breast cancer is to visit Dr Mansi Chowhan she has a very good knowledge and experience in her field .Thank you to Dr Mansi.
Dr. Mansi Chowhan, my wife’s breast cancer surgeon, empathized with my wife’s condition. She gave us the technical details in understandable language. She made it clear that the approach was primarily redemptive. She was happy with us when the tests came out favorable. She was sad with us for unfavourable pointers. She was caring throughout the process. We wish that she will bring such care and comfort to many more cancer patients.
I was diagnosed with DCIS. My gynaecologist Dr.Anjali Kumar whom I have known for 12 years and trust her completely, recommended Dr Mansi Chowhan to me. I am very happy that I took the decision of getting my breast surgery done from Dr.Mansi. She is very warm, polite and understands the emotional state of a patient. She explained to me in detail what exactly will be her plan of action. I went for other opinions too but Dr. Mansi was the only doctor who didn’t ask for unnecessary tests and procedures like MRI and Biopsy. Luckily, the lump in my breast was benign. I am grateful to her for handling my case so efficiently and would highly recommend her for breast surgery.
Dr Mansi Chowhan Dr. Mansi is one of the finest, sweetest and humble doctor I have ever met! I think she follows the rule to not overcomit and under deliver. During the period of my mother’s breast cancer consultation, treatment and surgery, she was sometimes upfront for few things, which we as Patient’s family took time to digest. But I really admire and appreciate all the support that Dr. Mansi and team extended during the entire period of pre & post surgery. And the kind of tumor removal + breast conservation surgery that she has done with her magical hands is commendable. I had so many negative thoughts before the surgery, but looking at the result and my mother recovering day by day…I can’t thank her enough for doing such wonders in saving her breast and her life! ❤
Dr Mansi Chowhan is an excellent Breast Cancer specialist we have in NCR, she is just amazing.
She is my wife’s doctor. She is very caring, understanding & listens to the patients.
In as much as she is a Gold Medalist, she is very knowledgeable and gives the best advice for the treatment.
She is very genuine in her dealings. She is a very kind and soft spoken to her patients. And takes special interest in caring for her patients, My wife feels very comfortable meeting her.
We highly recommend her to everyone with the above said problem.
My mother Mrs Santosh admitted under Dr Mansi Chowhan for procedure .
She is the outstanding doctor with golden heart , attend us guide us at each & every level of investigations.
A very big thanks for her & Mr Ibrahim & whole team for supportive hands given to us to fight against disease .
God bless you all & achieve success in future.
Our gratitude towards Dr Mansi Chowhan, my wife’s treating doctor cannot be expressed in words. She diagnosed my wife’s breast cancer and took great care throughout her journey from biopsy to breast surgery to chemotherapy now. To our great relief, a breast conservation surgery was done. She is exceptionally efficient and compassionate towards her patients. Highly recommended for any breast lump or cancer.
Dr Mansi Chowhan is one of the finest, sweetest and humble doctor I have ever met! I think she follows the rule to not overcomit and under deliver. During the period of my mother’s breast cancer consultation, treatment and surgery, she was sometimes upfront for few things, which we as Patient’s family took time to digest. But I really admire and appreciate all the support that Dr. Mansi and team extended during the entire period of pre & post surgery. And the kind of tumor removal + breast conservation surgery that she has done with her magical hands is commendable. I had so many negative thoughts before the surgery, but looking at the result and my mother recovering day by day…I can’t thank her enough for doing such wonders in saving her breast and her life! ❤.
I was diagnosed with DCIS. My gynaecologist Dr.Anjali Kumar whom I have known for 12 years and trust her completely, recommended Dr Mansi Chowhan to me. I am very happy that I took the decision of getting my breast surgery done from Dr Mansi. She is very warm, polite and understands the emotional state of a patient. She explained to me in detail what exactly will be her plan of action. I went for other opinions too but She was the only doctor who didn’t ask for unnecessary tests and procedures like MRI and Biopsy. Luckily, the lump in my breast was benign. I am grateful to her for handling my case so efficiently and would highly recommend her for breast surgery..
Dr Mansi Chowhan was really a blessing for us. She was so empathetic. I went to her for Sister In Law. She operated her for carotid body tumor. We were really scared but once we met Dr Mansi. we were at ease. She excellently handled the case. She was patient enough to hear all our worries and problems. I am thankful to her for all that she has done.
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