Dharamveer Solanki Multispeciality Hospital

Breast Health Care


Breast diseases encompass a wide range of conditions, including benign (non cancerous) growths, infections, and malignant (cancerous) tumors. Treatment  options depend on the type, location, and severity of the condition, as well as the  patient’s overall health and preferences. This guide aims to provide information on  surgical treatment for breast diseases, including what to expect during consultation,  surgery, and recovery.


The symptoms of breast diseases can vary widely, depending on the type and location  of the condition. Some common symptoms include: 

  1. A lump or thickening in the breast tissue 
  2. Changes in breast size or shape 
  3. Skin changes, such as redness, dimpling, or puckering 
  4. Nipple discharge or inversion 
  5. Pain or tenderness in the breast or nipple area 
  6. Swelling or warmth in the breast 

If you notice any of these symptoms or have concerns about a breast condition, it is  important to consult a healthcare professional for evaluation and appropriate  treatment recommendations.

Do I need Surgery?

Whether or not you need surgery for a breast disease depends on several factors,  including the type and severity of the condition, your overall health, and your 

personal preferences. Some breast diseases can be managed conservatively, with  non-surgical treatments such as medications, hormone therapy, or radiation therapy. 

In cases of breast cancer, surgery is often the primary treatment, especially for early stage cancers. Depending on the stage, size, and location of the tumor, a lumpectomy  or mastectomy might be recommended. For non-cancerous breast conditions, such  as benign tumors or cysts, surgery might be recommended if the lesion causes  discomfort, pain, or cosmetic concerns, or if there is a risk of it becoming cancerous. 

It is essential to consult with a healthcare professional to discuss your specific  situation and determine the most appropriate treatment plan. They will evaluate your  breast condition, consider your overall health and personal preferences, and  recommend the best course of action for your individual case.

Types of Surgery: 

There are several types of surgery for breast diseases, depending on the specific  condition and its severity. Here are some common surgical procedures: 

Lumpectomy: Also known as breast-conserving surgery, this procedure involves  removing the tumor or lump along with a small margin of surrounding healthy tissue.  This is often used for treating early-stage breast cancer or removing benign tumors. 

Mastectomy: This procedure involves the removal of the entire breast tissue. There  are different types of mastectomy, including: 

  1. Simple or total mastectomy: Removal of the entire breast tissue, without removal  of lymph nodes or muscles beneath the breast.
  2. Modified radical mastectomy: Removal of the entire breast tissue along with some  of the lymph nodes under the arm (axillary lymph node dissection). 
  3. Radical mastectomy: Removal of the entire breast tissue, lymph nodes under the  arm, and the chest wall muscles beneath the breast. This procedure is rarely  performed today due to its high level of invasiveness. 

Sentinel lymph node biopsy: This procedure involves removing a few lymph nodes  (sentinel nodes) from under the arm to check for cancer cells. If cancer cells are  found, more lymph nodes may be removed in a follow-up procedure. 

Axillary lymph node dissection: This procedure involves removing multiple lymph  nodes from the underarm area to check for cancer cells or to treat cancer that has  spread to the lymph nodes. 

Breast reconstruction: This procedure is done to restore the shape and appearance  of the breast after a mastectomy or lumpectomy. There are different methods of  breast reconstruction, including: 

  1. Implant-based reconstruction: Involves the use of saline or silicone gel-filled  implants to recreate the breast mound. 
  2. Autologous or flap reconstruction: Involves using the patient’s own tissue from  another part of the body, such as the abdomen or back, to recreate the breast mound. 
  3. Combination of implant and autologous reconstruction: In some cases, a  combination of both implant and flap techniques may be used for breast  reconstruction. 

Breast reduction: This procedure is performed to reduce the size of the breast, often  to alleviate discomfort or pain caused by excessively large breasts. Excess breast 

tissue, fat, and skin are removed to achieve a smaller, more proportionate breast  size. 

Excisional biopsy: This procedure involves the removal of a suspicious breast lump  or abnormal tissue for examination under a microscope. This is often performed when  a needle biopsy is inconclusive or not feasible. 

The choice of surgery depends on various factors such as the type and stage of the  breast disease, the patient’s overall health, and personal preferences. A healthcare  professional will recommend the most appropriate surgical approach based on the  individual case.


Surgery for breast diseases may be performed under local, regional, or general  anesthesia, depending on the type, location, and extent of the disease, as well as the  patient’s overall health and preferences.

What to Expect During Consultation?

During the consultation, the healthcare professional will: 

  • Take a detailed medical history and perform a physical examination Assess the size, location, and appearance of the breast condition Discuss the risks and benefits of the surgical options 
  • Recommend the most appropriate surgical approach based on the individual  case
  • Discuss anesthesia options and address any questions or concerns 


Recovery times can vary depending on the type of surgery, the extent of the  disease, and individual factors like age and overall health. Generally, most patients  can expect a recovery period of several weeks to a few months.

Some patients may experience temporary or permanent changes in sensation after  breast surgery, depending on the extent of the surgery and the nerves affected.  Discuss any concerns with your healthcare professional during the consultation.


As with any surgery, there are potential complications, including:

    • Infection
    • Bleeding 
    • Scarring 
    • Changes in breast or nipple sensation 
    • Damage to surrounding tissues or nerves
    • Anesthetic complications

Pre-op Evaluation 

Before surgery, the healthcare professional may perform or order additional tests,  such as blood work, imaging studies, or biopsies, to evaluate the breast condition  and assess the patient’s overall health. The patient may also be advised to stop  certain medications, such as blood thinners, and to avoid smoking to promote healing  and reduce the risk of complications.

What Should I Expect During My Surgery Recovery?

During the recovery period, the patient may experience: 

  • Mild to moderate pain or discomfort at the surgical site, which can usually be  managed with over-the-counter or prescription pain medications. Swelling and bruising around the surgical area, which should gradually subside  over time. 
  • Instructions on how to clean and care for the wound, including the application  of dressings or ointments, as recommended by the healthcare professional. Activity restrictions, such as avoiding heavy lifting or strenuous exercise, for a  period of time as advised by the healthcare professional.
  • Follow-up appointments to monitor the healing process, remove stitches or  drains, and address any concerns or complications.

What Results Should I Expect After Surgery? 

The results of the surgery depend on the type and extent of the breast disease, as  well as the surgical approach used. In general, patients can expect: 

Removal of the diseased tissue, with the possibility of additional treatments if needed,  such as radiation therapy or chemotherapy for cancerous conditions. 

Improved function or relief from pain, discomfort, or other symptoms caused by the  breast disease. 

Cosmetic improvement in the appearance of the breast, depending on the extent of  the surgery and the use of breast reconstruction techniques, if applicable.

Post-surgical Scars 

Scarring is a natural part of the healing process, and the size and appearance of the  scar will depend on the type, size, and location of the breast disease, as well as the 

surgical technique used. Over time, most scars will fade and become less noticeable.  However, some patients may choose to explore additional treatments, such as scar  revision or topical treatments , to further minimize the appearance of the scar.

Pain Concern 

Mild to moderate pain or discomfort is common after surgery for breast diseases. This  can usually be managed with over-the-counter or prescription pain medications as  recommended by the healthcare professional. It is important to follow the healthcare  professional’s instructions for pain management and to report any concerns or  uncontrolled pain promptly.

In conclusion, surgical treatment of breast diseases is a common and effective  approach for addressing a wide range of conditions. Understanding the surgical  options, risks, and recovery process can help patients make informed decisions and  set realistic expectations for their treatment outcomes.

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