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Oncoplastic Breast Surgery in Mumbai
by Dr. Sridevi Murali-Nanavati

Dr. Sridevi Murali-Nanavati is a highly qualified and skilled oncoplastic breast surgeon in Mumbai, specializing in advanced breast cancer treatments and reconstruction options. With a commitment to delivering optimal results, she provides comprehensive care in oncoplastic breast surgery, ensuring her patients receive the best possible outcomes.

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What is Oncoplastic Breast Surgery?

Oncoplastic breast surgery is a specialized approach that combines the principles of cancer surgery and cosmetic surgery. The primary goal is to remove breast cancer while maintaining the shape and appearance of the breast. This approach ensures that women can feel confident about their appearance after surgery, which can be an important aspect of their overall emotional and psychological well-being.

Overview of Oncoplastic Breast Surgery

When a tumor is removed from the breast, it can leave behind a significant defect, affecting the breast's size and shape. Traditional breast cancer surgery often resulted in noticeable changes to the breast, leading to concerns about aesthetics. Oncoplastic surgery addresses this issue by incorporating techniques that not only remove the cancerous tissue but also help reconstruct the breast, making it look as natural as possible.

What are the Advantages of Oncoplastic Breast Surgery?

  • 1. Better Cosmetic Outcomes: One of the main advantages of oncoplastic breast surgery is its ability to provide better cosmetic results. This dual approach means patients can have their cancer treated while also preserving the shape of their breast.
  • 2. Single Procedure: Oncoplastic surgery allows both cancer removal and breast reconstruction to be done in one operation. This reduces the number of surgeries a patient needs, leading to less recovery time and fewer hospital visits.
  • 3. Increased Surgical Options: Patients who might otherwise require a mastectomy (complete removal of the breast) can often be treated with oncoplastic techniques, allowing them to keep their breast tissue.

What Does Oncoplasty Comprise?

Oncoplasty can be broken down into different techniques, which can be classified mainly into two categories:

  • 1. Volume Displacement Surgeries: This technique involves rearranging or mobilizing tissue from the same breast to fill the space left after removing the tumor. By moving surrounding breast tissue, the surgeon can minimize the defect and maintain the breast's overall appearance.
  • 2. Volume Replacement Surgeries: In cases where a larger defect is created, this method involves using tissue from nearby areas (like the sides or underneath the breast) or even from the back. This tissue, called a "flap," is used to replace the lost breast tissue, ensuring a fuller and more natural look.
  • 3. Symmetrization Surgery: If a woman has surgery on one breast, she may opt for a procedure on the other breast to ensure both sides look symmetrical. This can involve reducing or reshaping the healthy breast to match the operated one.

What is Partial Breast Reconstruction / Oncoplasty?

Partial breast reconstruction, also known as oncoplastic breast surgery, is a key part of breast conservation surgeries. It focuses on preserving as much of the existing breast tissue as possible while ensuring the cosmetic shape is maintained. This approach has shown strong evidence of providing better cosmetic results and wider margins around the cancer, which is important for reducing the risk of recurrence.

Risks and Complications of Oncoplastic Breast Surgery

As with any surgical procedure, oncoplastic breast surgery comes with potential risks and complications. Some of the most common risks include:

  • 1. Infection: Any surgical procedure carries a risk of infection at the incision site. Patients are monitored for signs of infection and may be given antibiotics to prevent it.
  • 2. Scarring: Although techniques are used to minimize scarring, some scarring is unavoidable. The extent of scarring varies based on individual healing and the surgical technique used.
  • 3. Bleeding: Excessive bleeding during or after surgery can occur, which may require additional procedures to address.
  • 4. Changes in Sensation: Some patients may experience altered sensation in the breast or surrounding areas post-surgery, which could be temporary or permanent.
  • 5. Fluid Accumulation: Seromas, or fluid collections, can form under the skin after surgery. These may need to be drained if they cause discomfort.
  • 6. Need for Revision Surgery: In some cases, further surgical intervention may be necessary to achieve the desired aesthetic results or to address complications.
  • 7. Delayed Healing: Factors such as underlying health conditions or smoking can affect the healing process and increase the risk of complications.

Who is a Suitable Candidate for Oncoplastic Breast Surgery?

Not everyone is a suitable candidate for oncoplastic breast surgery. Suitable candidates typically include:

  • Patients with Early-Stage Breast Cancer: Those diagnosed with early-stage breast cancer may benefit from oncoplastic techniques.
  • Women Seeking Breast Conservation: Candidates who wish to maintain their breast's appearance while effectively treating cancer are ideal for this surgery.
  • Good Overall Health: Candidates should be in good overall health and able to tolerate surgery and anesthesia.
  • Realistic Expectations: Patients should have realistic expectations regarding the outcomes of the surgery and be open to discussing their goals with the surgeon.
  • Desire for Reconstruction: Women who desire a reconstruction approach that prioritizes aesthetics along with cancer treatment may find oncoplastic surgery suitable.

Procedure for Oncoplastic Breast Surgery

The oncoplastic breast surgery procedure generally involves several steps:

  • 1. Consultation and Planning: The surgeon will meet with the patient to discuss their cancer diagnosis, treatment options, and desired outcomes. Imaging tests may be conducted to evaluate the tumor and surrounding tissues.
  • 2. Anesthesia: The procedure is performed under general anesthesia to ensure the patient is comfortable and pain-free.
  • 3. Tumor Removal: The surgeon will carefully remove the cancerous tumor along with a margin of healthy tissue. This is crucial for reducing the risk of cancer recurrence.
  • 4. Reconstruction Techniques: Depending on the type of oncoplastic technique being used (displacement or replacement), the surgeon will either rearrange existing breast tissue or use tissue flaps to fill in the defect.
  • 5. Closing the Incisions: The surgeon will close the incisions with sutures, and in some cases, drains may be placed to help remove excess fluid.
  • 6. Post-Operative Care: Patients are monitored for a short time in the recovery room before being discharged, often with specific instructions for care at home.

Post-Procedure Care and Recovery for Oncoplastic Breast Surgery

After oncoplastic breast surgery, patients should follow specific care instructions to ensure a smooth recovery:

  • 1. Rest: Patients should rest and avoid strenuous activities for a few weeks following surgery.
  • 2. Pain Management: Pain medication may be prescribed to help manage discomfort. Over-the-counter medications may also be recommended.
  • 3. Wound Care: It’s essential to keep the surgical site clean and dry. Patients should follow the surgeon's instructions on how to care for their incisions.
  • 4. Follow-Up Appointments: Regular follow-up appointments will be scheduled to monitor healing and assess the surgical outcomes.
  • 5. Gradual Return to Activities: Patients can gradually resume normal activities, but heavy lifting and intense exercises should be avoided until cleared by their surgeon.
  • 6. Monitor for Complications: Patients should watch for signs of complications, such as increased swelling, redness, fever, or discharge from the incision site, and report these to their surgeon promptly.

Conclusion

Dr. Sridevi Murali Nanavati is a dedicated oncoplastic breast surgeon in Mumbai, specializing in procedures that offer both effective cancer treatment and excellent cosmetic outcomes. She utilizes the latest technology and adheres to international standards to provide comprehensive care for breast cancer patients.

Patients considering oncoplastic breast surgery should feel comfortable discussing their concerns and goals with Dr. Murali-Nanavati. She emphasizes a personalized approach, ensuring that each patient's unique needs are met.

Navigating the decision for oncoplastic breast surgery and the recovery process can be challenging, but with Dr. Murali-Nanavati and her team, patients can expect compassionate support and guidance throughout their journey.

Frequently Asked Questions

1. Can young adolescent girls get an oncoplastic breast reduction done?
Yes, young adolescent girls can be candidates for oncoplastic breast reduction. However, their development stage will be assessed to determine if the procedure is appropriate.
2. Breasts may shrink during radiation therapy. How can oncoplastic breast surgery ensure symmetry if only one breast needs radiation after surgery?
Oncoplastic techniques allow for adjustments on the unaffected breast, such as a reduction or reshaping procedure, to ensure both breasts look proportionate and symmetrical.
3. Is oncoplastic breast surgery an effective treatment for breast cancer?
Yes, oncoplastic breast surgery is an effective option that allows for the complete removal of cancer while preserving breast aesthetics. This can contribute to better emotional recovery.
4. Does oncoplastic breast surgery increase the risk of cancer recurrence?
Studies have shown that oncoplastic breast surgery does not increase the risk of cancer recurrence. In fact, it often results in clear surgical margins, which are crucial for reducing recurrence rates.
After surgery, light exercises like walking are usually encouraged. However, patients should consult their surgeon before starting any new exercise regimen to ensure safety during recovery.
6. How long does the recovery process take after oncoplastic breast surgery?
Recovery times vary, but most patients can return to their normal activities within 4-6 weeks. Following the surgeon’s post-operative care instructions is crucial for a smooth recovery.
7. Will there be visible scars after oncoplastic breast surgery?
Some scarring is inevitable, but efforts are made to minimize it through careful surgical techniques. Scars usually fade over time, and various treatments can help

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