Mastectomy

A mastectomy may be advised if:

• your breast cancer involves a large area of the breast
• there are multiple areas of cancer in the breast
• radiotherapy is not suitable or has already been given
• you prefer mastectomy over breast-conserving surgery
• you have a high genetic risk of breast cancer (e.g. BRCA gene mutation)

Every decision is individual and made together with you, based on medical factors and personal preference.

Before surgery, you will:

• meet your surgical and anaesthetic teams
• have pre-operative assessments and scans if needed
• discuss reconstruction options, if relevant
• be given guidance about fasting, medications, and recovery

You will have time to ask questions and consider your options.

Ahead of your operation, your breast consultant will discuss your treatment options, the advantages and disadvantages of a radical mastectomy, and your options for breast reconstruction.

They will also talk to you about your recovery, and the possible physical and emotional effects of this type of surgery. 

Emotional wellbeing

A mastectomy can have a significant emotional impact, affecting body image, confidence, and wellbeing. Support is available, including breast care nurses, counselling or psychological support, and peer support groups.

We also have a dedicated holistic care clinic for people with cancer.

All surgery carries risks. Possible side effects include:

• pain or numbness around the chest or arm
• infection or bleeding
• scar formation
• seroma (fluid collection)
• changes in sensation 

Your surgeon will explain these in detail and how risks are minimised.