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Overview

Subcutaneous mastectomy is a surgical procedure in which the breast tissue is removed while preserving the nipple and areola (the dark-colored area around the nipple). This procedure is generally preferred in women with breast cancer, women at high risk of breast cancer, or in the treatment of some benign breast conditions. Reconstruction, on the other hand, is performed in the same session as the mastectomy or at a later date to reshape the breast.

Procedure Details

• Procedure: Subcutaneous Mastectomy + Reconstruction
  • Mastectomy: Breast tissue is removed while preserving the nipple and areola. This procedure is called nipple-sparing mastectomy, but sometimes it may be necessary to remove the nipple as well, which is called skin-sparing mastectomy.
  • Reconstruction: The breast is reshaped using a breast implant or the patient’s own tissue.
• Duration: 3-5 hours (depending on the procedure and the reconstruction technique used)
• Anesthesia: General anesthesia
• Location: [Hospital or Clinic Name] – Istanbul
• Possible Side Effects:
  • Mastectomy: Pain, swelling, bleeding, infection, loss of sensation in the nipple and/or areola.
  • Reconstruction: Implant-related complications (capsular contracture, infection, implant displacement), tissue flap complications (when the patient’s own tissue is used), loss of sensation, asymmetry.
• Recovery Time: Varies depending on the type of surgery and the person’s overall health, usually a few weeks to a few months.
• Expected Outcomes: Prevention of breast cancer (in high-risk groups), preservation of the natural shape and appearance of the breast, increased psychological well-being, improved quality of life.

Daily Plan

• Day 1:
  • Arrival in Istanbul and transfer to the hospital.
  • Pre-operative consultation and detailed examination with your surgeon (general surgeon and plastic surgeon).
  • Evaluation of breast tissue with imaging methods such as mammography, ultrasonography, MRI.
  • Surgical planning, determination of the reconstruction method to be applied, discussion of expectations.
• Day 2:
  • Subcutaneous mastectomy + reconstruction surgery.
  • Post-operative pain control and drain monitoring.
  • Hospital stay is usually 2-3 days.
• Day 3:
  • Post-operative check-up by the surgeon.
  • Changing of dressings.
  • Starting arm exercises.
  • Discharge from the hospital and transfer to the hotel.
• Day 4-5:
  • Rest at the hotel.
  • Continue arm exercises.
  • Gradual return to daily activities according to your doctor’s recommendations.
  • Receiving pathology results and evaluation by the oncology department.
  • Drain monitoring may sometimes be longer.
• Day 6:
  • Return to your country.

Post-Operative Care

• Use antibiotics and pain medications as recommended by your doctor.
• Do arm exercises regularly.
• Dress the surgical area as instructed, keep it clean and dry.
• Avoid heavy lifting and strenuous activities.
• Follow your doctor’s instructions and schedule a follow-up appointment with a local doctor after returning to your country.
• If necessary, get information from your doctor about the use of breast prostheses or special bras.

FAQ

• Q: Is subcutaneous mastectomy + reconstruction painful?
  • A: Post-operative pain is expected, but it can be managed with pain medications.
• Q: Will there be loss of sensation in the nipple and areola after surgery?
  • A: There is a risk of loss of sensation, but it is usually temporary.
• Q: What are the risks of subcutaneous mastectomy + reconstruction?
  • A: There are risks such as bleeding, infection, loss of sensation, skin problems, asymmetry, and implant-related complications (capsular contracture, infection, implant displacement). Your doctor will explain the risks in detail.
• Q: Who is suitable for subcutaneous mastectomy + reconstruction?
  • A: Subcutaneous mastectomy + reconstruction may be performed in women at high risk of breast cancer, those with a genetic predisposition such as BRCA1 or BRCA2 gene carriers, or in the treatment of some benign breast conditions. Your doctor will evaluate your breast tissue and overall health to determine if it is right for you.