What Type of Mastectomy Is Right for You?

Understanding Mastectomy

Choosing to undergo a mastectomy is a significant decision. When you and your doctor determine that a mastectomy is the best course of action, the next step is deciding which type of breast reconstruction, if any, will be most beneficial for your recovery and long-term well-being.

Types of Mastectomy

Every patient’s situation is unique, and the type of mastectomy recommended depends on factors such as cancer stage, tumor size, and overall health. Below are the primary types of mastectomy procedures:

Simple or Total Mastectomy

• Entire breast tissue is removed.
• Lymph nodes are generally left intact unless they are part of the breast tissue being removed.
• No chest wall muscles are removed.

Modified Radical Mastectomy

• Entire breast is removed.
• Levels 1 and 2 of axillary lymph nodes (underarm) are removed to check for cancer spread.
• No chest muscles are removed.

Radical Mastectomy

• Entire breast is removed.
• All three levels of axillary lymph nodes are removed.
• Chest wall muscles beneath the breast are also removed.
• This procedure is rare and reserved for aggressive cases.

Partial Mastectomy

• Only the cancerous portion of the breast and some surrounding normal tissue are removed.
• Removes more tissue than a lumpectomy.

Nipple-Sparing Mastectomy

• All breast tissue is removed, but the nipple and skin are preserved for reconstruction.
• Ideal for patients with smaller tumors that are not near the nipple.

Choosing to “Go Flat”

‍Some patients opt against breast reconstruction, choosing instead to remain “flat.” This means not undergoing reconstruction surgery and instead using prosthetics or remaining without additional surgery. Studies show that over 60% of mastectomy patients choose this option.

‍Breast Prosthetics: An Alternative to Reconstruction

‍For those who prefer not to undergo reconstructive surgery but still desire a balanced appearance, breast prosthetics offer a non-surgical alternative. The two main types of prostheses are:

• Lightweight (Foam or Polyfill): Best for early post-surgery use, warm weather, and swimming. Can be machine-washed and used in saltwater.
• Silicone Prosthesis: Provides a more realistic look and feel. Available in two types:
  • Asymmetrical: Designed specifically for either the left or right side.
  • Symmetrical: Can be used on either side and adjusted for fullness and cleavage.

Finding the Right Mastectomy Plan for You

‍Every mastectomy option has its benefits and considerations. Your medical team at BASS Cancer Center in Walnut Creek will guide you in choosing the best approach based on your medical condition, lifestyle, and personal preferences.

‍Expert Breast Cancer Care at BASS Cancer Center

‍At BASS Cancer Center in Walnut Creek, our specialists provide comprehensive breast cancer treatment, including mastectomy options and personalized recovery plans. Schedule a consultation with our expert team to discuss your options and find the right path for your care.