Concerns After Mammotome Procedure: Will Breast Indentation Heal? - Surgery

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Hello, doctor.
Last week, during a routine breast ultrasound examination, I discovered that there is a 1 cm breast fibroadenoma in the lower part of my breast.
The doctor recommended that I undergo a mammotome procedure to remove it.
However, after the procedure, I noticed some indentation in the area where the adenoma was removed.
Will this heal on its own? I had previously heard that the mammotome procedure would not affect the appearance of the breast, which is why I opted for it out of pocket, but now I am quite worried.
Is there anything I can do to help with the recovery?

Xiao Yu, 30~39 year old female. Ask Date: 2013/07/15

Dr. Yu Mingchang reply Surgery


Hello ^^ Just go with the flow; the cavity will produce some tissue fluid, and the tissue will self-repair.
Thank you!!

Reply Date: 2013/07/15

More Info


After undergoing a Mammotome procedure to remove a fibroadenoma, it's understandable to have concerns about the appearance of your breast, especially if you notice an indentation or depression in the area where the tumor was excised. The Mammotome procedure is a minimally invasive technique that uses a vacuum-assisted device to remove breast tissue, and while it is designed to minimize trauma and preserve the breast's shape, some patients may still experience changes in breast contour post-surgery.


Will the Indentation Heal?
In many cases, the indentation or depression you are experiencing may improve over time. The body has a remarkable ability to heal itself, and the area where the fibroadenoma was removed may gradually fill in with new tissue. This process can take several weeks to months, and during this time, you may notice changes in the appearance of your breast.
The indentation may be due to several factors, including:
1. Tissue Healing: After surgery, the body will produce fluid and new tissue to fill the void left by the removed fibroadenoma. This healing process can lead to a gradual improvement in the appearance of the breast.

2. Swelling and Bruising: Post-operative swelling and bruising can initially contribute to the appearance of an indentation. As these symptoms resolve, the contour of the breast may improve.

3. Scar Tissue Formation: As the incision heals, scar tissue may form, which can also affect the shape of the breast. Over time, scar tissue can soften and become less noticeable.


What Can You Do to Help Recovery?
While the body will naturally work to heal itself, there are several steps you can take to support the recovery process and potentially improve the appearance of your breast:
1. Follow Post-Operative Care Instructions: Adhere to any guidelines provided by your surgeon regarding wound care, activity restrictions, and follow-up appointments. Proper care can help minimize complications and promote healing.

2. Gentle Massage: Once the incision has healed (usually after a few weeks), gentle massage of the area may help break down scar tissue and improve circulation, which can aid in the healing process. Always consult your doctor before starting any massage therapy.

3. Hydration and Nutrition: Maintaining a healthy diet and staying hydrated can support your body's healing processes. Nutrients like vitamin C, zinc, and protein are particularly important for tissue repair.

4. Compression Garments: Wearing a supportive bra or compression garment as recommended by your doctor can help provide support to the breast and may reduce swelling.

5. Follow-Up Appointments: Regular follow-ups with your healthcare provider are essential to monitor your healing progress. If you have concerns about the indentation or any other symptoms, do not hesitate to reach out to your doctor.


When to Seek Further Evaluation
If the indentation does not improve over time, or if you experience any unusual symptoms such as increased pain, redness, or discharge from the incision site, it is important to consult your healthcare provider. They may recommend imaging studies or further evaluation to ensure that there are no complications, such as infection or issues with healing.

In summary, while it is common to have concerns after a Mammotome procedure, many patients find that their breast appearance improves over time as healing occurs. By following your doctor's recommendations and taking proactive steps to support your recovery, you can help facilitate the healing process. If you have ongoing concerns, don't hesitate to reach out to your healthcare provider for personalized advice and reassurance.

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