Will Breast Surgery Cause Dents? Tumor Removal Concerns - Surgery

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Breast issues


Doctor, I have a 1.9 cm breast tumor.
If I undergo a standard surgery, will there be a depression in my breast? I'm so scared.

Yúyú, 20~29 year old female. Ask Date: 2016/10/17

Dr. Li Zhonghuai reply Surgery


Hello! It is recommended to perform a core needle biopsy to confirm the diagnosis before proceeding with excision.
Generally, after the removal of a breast tumor, the cavity will be filled with tissue fluid and will not result in a depression.
Wishing you well! Changhua Hospital cares about you!

Reply Date: 2016/10/17

More Info


Breast surgery, particularly for tumor removal, can understandably raise concerns about the aesthetic outcomes, including the possibility of dents or indentations in the breast. When a tumor is removed, the surgical technique and the size of the tumor can significantly influence the final appearance of the breast.

1. Understanding the Surgical Procedure: The type of surgery performed is crucial. In cases of benign tumors like fibroadenomas, a lumpectomy may be performed, which involves removing the tumor and a small margin of surrounding tissue. If the tumor is larger or if there are concerns about malignancy, a more extensive procedure, such as a partial mastectomy or a modified radical mastectomy, may be necessary. The latter involves removing a larger portion of breast tissue and possibly some lymph nodes, which can lead to more noticeable changes in breast shape.

2. Impact on Breast Shape: After surgery, some patients may notice changes in the contour of their breast. Factors that can contribute to this include:
- Size of the Tumor: A larger tumor removal can result in more significant changes in breast shape.

- Surgical Technique: Surgeons often employ techniques to minimize the impact on breast aesthetics, such as using sutures that help to reshape the breast after tumor removal.

- Healing Process: The way the body heals can also affect the final appearance. Swelling, scarring, and tissue retraction can all play a role in how the breast looks post-surgery.

3. Post-Surgical Considerations:
- Scarring: All surgeries will leave some degree of scarring, but skilled surgeons aim to place incisions in less visible areas. Over time, scars may fade but can still be noticeable.

- Breast Reconstruction: If the aesthetic outcome is a significant concern, patients may discuss options for breast reconstruction with their surgeon. This can be done immediately following the tumor removal or at a later date.

- Physical Therapy: Engaging in physical therapy post-surgery can help improve mobility and may assist in the healing process, potentially leading to better aesthetic outcomes.

4. Managing Anxiety: It’s natural to feel anxious about the potential outcomes of surgery. Discussing your concerns with your surgeon can provide clarity and reassurance. They can explain the specific techniques they will use and what you can expect in terms of recovery and appearance.

5. Follow-Up Care: After surgery, follow-up appointments are essential to monitor healing and address any concerns. Your healthcare team can provide guidance on managing any post-operative symptoms, including swelling or discomfort, which can also affect how the breast looks during the healing process.

In conclusion, while there is a possibility of dents or indentations after breast surgery, many factors influence this outcome. Open communication with your healthcare provider about your concerns and expectations can help you make informed decisions and prepare for the surgery ahead. Remember, the primary goal of the surgery is to ensure your health and well-being, and aesthetic considerations can often be addressed through careful surgical planning and follow-up care.

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