Your Breast Surgery

If you have been diagnosed with breast cancer or DCIS (ductal carcinoma in situ), your doctor may recommend surgery as part of your treatment plan. Each option has its own potential benefits, risks, and recovery process to consider. It is important to take the time to thoroughly discuss your specific situation and priorities with your care team. They can explain which procedures may be most appropriate for the type, size, and location of your cancer, as well as your overall health status and risk factors. 

Making a decision about breast cancer surgery is very personal. Be sure to ask questions, weigh the pros and cons of each approach for your individual case, and decide on the option that feels right for you and your lifestyle. Your care team is there to discuss all possibilities and help guide you through the different types of breast surgery.

Lumpectomy/Partial Mastectomy

This surgery removes the cancerous lump/tumor along with a margin of surrounding healthy breast tissue. The goal is to remove all the cancerous tissue while conserving as much of the breast as possible. Lumpectomies are usually followed by radiation therapy, depending on cancer type.

Total/Simple Mastectomy

With this type of  mastectomy, the entire breast is surgically removed, including the nipple. This may be recommended if the cancer is widespread, for prevention in high-risk patients, or based on patient preference. Lymph nodes may or may not be removed at the time of surgery.

Sentinel Lymph Node Biopsy

This procedure involves injecting a radioactive tracer or dye to identify the first few lymph nodes that filter drainage from the breast tumor. These sentinel nodes are then removed and biopsied to check for cancer spread. It is less invasive than a full axillary (underarm) lymph node dissection.

Nipple-Sparing Mastectomy

In this type of mastectomy, the breast tissue is removed, but there is preservation of the skin, nipple, and areola. It provides better cosmetic results compared to a full mastectomy. Small incisions are made to remove the tissue through minimal openings.

Bilateral Mastectomy

Both breasts are surgically removed during this procedure. It may be an option for some women with cancer in one breast who are at high risk for developing cancer in the other breast.

Preparing for Your Breast Surgery

In the days leading up to your breast surgery, there are some important steps to take to prepare physically and mentally. With some thoughtful preparation, you can head into your breast surgery feeling centered, empowered, and ready to begin restoring your health. 

Prior to your surgery, be sure to follow all pre-operative instructions from your surgeon, such as guidelines on eating, drinking, medications, etc. If you smoke, try to quit or at least cut down significantly, as smoking can impair healing. Stock up on post-surgery supplies like ice packs, button-down shirts, stool softeners, and anything else recommended for your recovery. Prepare easy-to-reheat meals, arrange for someone to drive you home after the procedure and stay with you for the first couple of days if possible. 

It is normal to feel anxious about an upcoming surgery, but try to get plenty of rest leading up to surgery. Talk to loved ones about any fears and have them voice their support. Spend time pursuing relaxing activities and surrounding yourself with comforting environments. Remind yourself that your medical team has undergone extensive training for this procedure and will take excellent care of you. Stay hopeful about your upcoming recovery.