What to Expect With a Mastectomy

A mastectomy is a surgical procedure that completely removes breast tissue as a treatment for breast cancer. Some patients can choose to undergo breast reconstruction to bring back shape, sometimes at the same time as the procedure.

  1. Background

    • A mastectomy can be performed on one or both breasts for a variety of cancers. If the cancer is in its early stages, some patients might be able to choose a lumpectomy to remove only the tumor.

    Surgery

    • Surgery can take two to three hours. The surgeon makes an incision around the nipple, separates the skin from the breast tissue and removes all tissue. A full, radical mastectomy will also remove some chest muscles.

    Recovery

    • Hospital stays can last up to three days. Recovery typically involves prescribed pain medication and antibiotics, arm exercises and safeguarding against infections. A patient might have to deal with a remaining surgical drain until removal during the first follow-up visit with the doctor.

    Potential Effects

    • Besides bleeding and infection, a patient undergoing a mastectomy can experience swelling, shoulder pain, numbness in the area and hematoma.

    Aftermath

    • In the months following surgery, a patient might experience fatigue and phantom pains, which can be alleviated with analgesics and pain medication. Arm exercises should be continued to prevent stiffness. A patient might also need additional treatment such as hormone therapy or chemotherapy.

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