Breast Conserving Surgery
- Volume displacement (using existing breast tissue to remodel the remaining breast).
- Volume replacement (using tissues outside of the breast to replace the lost volume: perforator flaps or fat graft).
- Therapeutic mammoplasty: breast reduction performed as part of cancer removal surgery for selected patients.
Mastectomy and Reconstruction
- Nipple or skin sparing. Leaving nipple or skin while ensuring oncologic safety, aim to achieve a good cosmetic outcome.
- Implant based reconstruction (with or without use of acellular derma matrix).
- Autologous reconstruction (in conjunction with a plastic microvascular surgeon).
Axillary Lymph Node Surgery
Tailored and evidence-based approach to axillary lymph node surgery while trying to reduce long term lymphoedema and other morbidity.
- Omission of sentinel node biopsy in suitable patients.
- Sentinel lymph node biopsy in appropriately selected patients.
- Targeted axillary dissection in patients with excellent clinical and radiological response following neoadjuvant systemic therapy.
- Completed axillary dissection. Complete removal of the lymphatic and nodal tissue under the armpit in patients with cancer already spread to the arm pit nodes.
- +/- lymphovenous bypass in selected patients in conjunction with microvascular plastic surgeon.
Risk-Reducing Mastectomy Surgery
For patients with strong family history or carrier of high-risk breast cancer gene, who have received consultations regarding risk assessment, screening and risk reducing medication counselling.
Breast Reduction
- For patients with macromastia (large breasts) causing functional issues with neck, shoulder or back pain.
- Symmetrising following asymmetry following previous breast cancer treatment.
Breast Augmentation
- For patients with congenital hypoplasia (development of inadequate breast tissue).
- Asymmetry following previous breast cancer treatment.
Fat Graft
Fat transfer for minor corrections of asymmetry following previous breast cancer surgery and treatment.
Diagnostic Excision Biopsy
- For patients with indeterminate lesions that require further pathological laboratory tissue examination for definitive diagnosis.
- Most likely will require radiological localisation.