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Doctor insights on: How Is A Subcutaneous Mastectomy Different From A Normal Mastectomy

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How is a subcutaneous mastectomy different from a normal mastectomy?

How is a subcutaneous mastectomy different from a normal mastectomy?

No skin removal: A subcutaneous mastectomy removes as much breast tissue as possible without removing any skin of the breast. This may sometimes be performed on women who are at high-risk for breast cancer to lower their risk; it is not an acceptable surgical treatment of breast cancer. ...Read more

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Subcutaneous (Definition)

The hypodermis, also called the hypoderm, subcutaneous tissue, subcutis, or superficial fascia, is the lowermost layer of the integumentary system in vertebrates. Types of cells that are found in the hypodermis are fibroblasts, adipose cells, and macrophages. It is derived from the mesoderm, but unlike the dermis, it is not derived from the dermatome ...Read more


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52 years with no family history of breast cancer underwent bilateral subcutaneous mastectomy and histopathology showed on the right side ductal carcin?

52 years with no family history of breast cancer underwent bilateral subcutaneous mastectomy and histopathology showed on the right side ductal carcin?

Possible: I am not sure why was the bilateral mastectomy performed from the begging to start with but Ductal carcinoma in situ is a precancerous condition and it is not uncommon to find in women of your age. You must follow up with an oncologist to see if further intervention like hormonal thrapy is indicated. ...Read more

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How is a mastectomy bra different from a normal rock?

How is a mastectomy bra different from a normal rock?

Softer: It depends on the price range but the new external prosthesis are markedly softer than before and form fitting for a total or to fill in the gaps after a partial mastectomy or radiation effect. ...Read more

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36 year-old woman whose mother was diagnosed with breast cancer at age 34 and a PALB2 mutation wonders if mastectomy is needed to lower her risk.....?

36 year-old woman whose mother was diagnosed with breast cancer at age 34 and a PALB2 mutation wonders if mastectomy is needed to lower her risk.....?

No!: Although the PALB2 mutation increases risk, preventive mastectomy is not recommended. There are other ways to decrease your risk including taking raloxifene or tamoxifen. See a medical oncologist to discuss this (and a genetic counselor! ) ...Read more

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Wondering if it's normal for a mastectomy to be done on an out patient basis?

Normal: It is perfectly acceptable to have a mastectomy on an outpatient basis. The patient needs to be healthy and have a responsible adult with them at home. We send people home the same days after procedures such as a cholecystectomy. You will have a drain but it is easy to manage. You will be more comfortable at home and sleep better. ...Read more

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What is the normal post-op nursing wound and drain management in mastectomy patient?

What is the normal post-op nursing wound and drain management in mastectomy patient?

Varies: Some persons have very good tissue, and others may not. If fluid is expected, drains of closed system variety are placed and removed when volume of drainage decreases or stops. The incision(s) may be sutured, stapled or glued and have needs of management or removal at 10- 14 days based on surgeon preference and tissue appearance. ...Read more

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After nipple sparing mastectomy is it normal for nipple to get scabby and dark (i wouldn't say it is black)?

After nipple sparing mastectomy is it normal for nipple to get scabby and dark (i wouldn't say it is black)?

NotNormalButCommon: The challenge of nipple-sparing mastectomy is to remove as much tissue under the nipple without compromising its blood supply; what you are describing is a consequence of the latter. While it may be too early to tell, the nipple may end up ok. When this happens under my care, i advise applying neosporin every 4 hrs while awake--check w/your surgeon what they recommend. ...Read more

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Is it normal to have a mastectomy and radiation therapy afterwards, rather than the other way around?

Is it normal to have a mastectomy and radiation therapy afterwards, rather than the other way around?

This can be normal: If a patient has mastectomy and the lesion was large or had many nodes involved this is followed by chemo then radiation. If the patient had a lumpectomy then radiation they would not need mastectomy. However if later on it recurs one can still have a mastectomy. This does not happen often. ...Read more

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When should I feel back to normal after preventive mastectomy with implants done right away ? When should I be able to lift 25 lb toddler?

When should I feel back to normal after preventive mastectomy with implants done right away ? When should I be able to lift 25 lb toddler?

Varies: This is a conversation you should have with your plastic surgeon who placed the implants. Every surgeon has their own set of post operative instructions. Please call him/her today. ...Read more

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Wife had bilateral mastectomy with reconstruction two days ago. Is having back pain...Is this normal? Insicions are clean. Drains emptied on schedul

Wife had bilateral mastectomy with reconstruction two days ago.  Is having back pain...Is this normal?  Insicions are clean. Drains emptied on schedul

Not abnormal: After laying flat on their back for several hours under anesthesia, many people have back soreness set in after a day or two. Ask your doc what she could take for it. ...Read more

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Chemo for --- ibc marginally successful. Then mastectomy, 7 lymph nodes positive. Now the surgeon wants rad, onc wants different chemo. Help!

Chemo for ---  ibc marginally successful. Then mastectomy, 7 lymph nodes positive. Now the surgeon wants rad, onc wants different chemo. Help!

Yes for rad: Definitely you should get an adjuvant radiation therapy following mastectomy. As per- chemo- if you get chemo first before surgery and unfortunately the response is only marginal- that indicates that your cancer is likely is resistant to chemo.So, adding more chemo post mastetcomy doubtfully will give you any benefit. Is this er+ or er-? If this is er+- then you should get aromatase inhibitor. ...Read more

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Post mastectomy drainage still draining about 60 cc a day after 6 days. Still some swelling but no infection. Is this normal?

Post mastectomy drainage still draining about 60 cc a day after 6 days.
Still some swelling but no infection. Is this normal?

Not uncommon : No one likes the drain, but it really is a problem if it's removed too early. Hang in there. Your surgeon will remove it when it's ready. ...Read more

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I'm having acute pain from my radical mastectomy surgery wednesday. Normal? I have high risk breast cancer

I'm having acute pain from my radical mastectomy surgery wednesday. Normal? I have high risk breast cancer

Call your surgeon: It is normal to have some level of pain for the next few weeks after your sugery. I recommend you contact your surgeon and be evaluated. ...Read more

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If i test positive for brac gene mutation i get mastectomy with breast implantsin same surgery . How long would be in hospital ? How long until normal

If i test positive for brac gene mutation i get mastectomy with breast implantsin same surgery . How long would be in hospital ? How long until normal

VARIES: Treatment varies from hospital to hospital as well as physician to physician. Most surgeons and hospitals will do the mastectomies and reconstructions on the same day. Length of time for hospitalization and full recovery varies with the type of surgery and reconstruction done. Take it one step at a time. Get the brca test done first and see what the results show. ...Read more

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I'd gotten a mastectomy 2 years ago. Is it too late to have a reconstruction?

No : Reconstruction is always an option. Some patient's op to have mastectomy and reconstruction during the same operation but it is possible to have it later. ...Read more

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Im a trans guy researching surgeries. my breasts are at a 36 d and i dont know whether i should get a mastectomy or just a reduction.

Im a trans guy researching surgeries. my breasts are at a 36 d and i dont know whether i should get a mastectomy or just a reduction.

See plastic surgeon: If you're considering any breast reduction surgery, consult a board-certified plastic surgeon. It's important to understand before the surgery options, benefits, risks and complications. ...Read more

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Where can I find a mastectomy bra?

Where can I find a mastectomy bra?

Specialty store: There are bra specialty store that do fittings. The american cancer society has resources. Nordstrom 's has products as well. Your oncology team or navigator should be able to provide you with local resources. ...Read more

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For how long does a mastectomy take?

Two hours on average: The actual length of the operation depends on the type of mastectomy performed and the type of lymph node procedure that is performed at the same time. Immediate reconstruction (if planned) must also be factored in. But in general, the mastectomy operation takes about 2 hours with wound closure taking up about 1/4 of the time. ...Read more

Dr. Barry Rosen
977 doctors shared insights

Mastectomy (Definition)

A mastectomy is complete removal of all visible breast tissue. Different variations exist, some of which spare some or all of ...Read more