BCS - Breast-Conserving Surgery
BCS - Breast-Conserving Surgery
In BCS, only the tumor (lump) and a small margin of surrounding healthy tissue are removed.
The rest of the breast remains intact, allowing women to retain their natural appearance and body confidence.
BCS is usually followed by radiation therapy to destroy any microscopic cancer cells that may remain, ensuring the best possible long-term control.
✅ Who is a Candidate for BCS?
You may be a good candidate for breast-conserving surgery if:
- The tumor is small and localized to one area.
- The cancer has not spread extensively within the breast.
- You are medically fit for radiation therapy.
- You prefer to keep your breast and the surgeon confirms it is oncologically safe.
Even some larger tumors can be treated with BCS after shrinking them using pre-surgery (neoadjuvant) chemotherapy.
Mastectomy Surgery
Mastectomy Surgery
🎗️ Mastectomy
A Mastectomy is a surgical procedure to remove one or both breasts, partially or completely, to treat or prevent breast cancer. At Dr. Swati Suradkar’s Breast Clinic, we understand that undergoing a mastectomy is a deeply personal and emotional journey. Our focus is to ensure complete cancer removal, cosmetic restoration, and emotional support throughout your treatment.
🩺 What is a Mastectomy?
A mastectomy involves the surgical removal of the breast tissue to eliminate cancer or reduce the risk of developing it. Depending on the type and stage of breast cancer, different types of mastectomy procedures are performed.
Types of Mastectomy
1️⃣ Simple (Total) Mastectomy
- Removes the entire breast, including nipple and areola.
- Lymph nodes and chest muscles are not removed.
- Recommended for DCIS or early-stage cancers not suitable for breast-conserving surgery.
2️⃣ Modified Radical Mastectomy (MRM)
- Removes the entire breast along with axillary (underarm) lymph nodes.
- Chest muscles are preserved.
- Commonly done for invasive breast cancer to check lymph node spread.
3️⃣ Radical Mastectomy (Halsted’s)
- Removes the breast, lymph nodes, and chest wall muscles.
- Rarely performed now — only used in very advanced cases involving chest muscles.
4️⃣ Skin-Sparing Mastectomy
- Removes breast tissue but preserves most of the overlying skin.
- Ideal when immediate breast reconstruction is planned.
- Provides a better cosmetic result.
5️⃣ Nipple-Sparing Mastectomy
- The entire breast tissue is removed but the nipple and areola are preserved.
- Suitable for selected early-stage cancers or preventive mastectomies.
- Offers the most natural appearance after reconstruction.
🧬 Who Needs a Mastectomy?
A mastectomy may be recommended if:
- Cancer is large or multifocal (in multiple areas).
- Breast-conserving surgery is not possible or not desired.
- There is recurrent cancer after previous treatment.
- Patient carries a BRCA gene mutation (high risk).
- Extensive ductal carcinoma in situ (DCIS) is present.
your surgeon will discuss all surgical options and help you choose the safest and most suitable one.
Sentinel Lymph Node Biopsy - SNB
Sentinel Lymph Node Biopsy - SNB
Sentinel Lymph Node Biopsy (SNB) is a precise and minimally invasive procedure used to check whether breast cancer has spread to the lymph nodes. At Dr. Swati Suradkar’s Breast Clinic, this technique helps in accurate cancer staging while reducing unnecessary surgery and complications.
🌸 What Are Lymph Nodes and Why Are They Important?
The lymph nodes are small, bean-shaped glands that play a vital role in your body’s immune system. In breast cancer, cancer cells can sometimes travel from the breast to nearby lymph nodes — most commonly in the axilla (underarm). Knowing whether these nodes contain cancer cells is essential for:
- Deciding the stage of cancer
- Planning treatment
- Predicting prognosis
🎯 What is a Sentinel Lymph Node?
The sentinel lymph node is the first lymph node (or group of nodes) that directly receives drainage from the breast tumor area. If cancer spreads from the breast, it would first reach this node. Therefore, checking the sentinel node tells us whether cancer has begun to spread beyond the breast.
🩺 What is Sentinel Lymph Node Biopsy (SNB)?
SNB is a surgical test in which only a few key lymph nodes — the sentinel nodes — are identified and removed for examination. If these nodes are cancer-free, it is very likely that the other lymph nodes are also unaffected. This allows the surgeon to avoid removing all the lymph nodes, minimizing complications like arm swelling (lymphedema).
Axillary Dissection - A.D.
Axillary Dissection - A.D.
Axillary Dissection (A.D.), also known as Axillary Lymph Node Dissection (ALND), is a surgical procedure performed to remove lymph nodes from the underarm (axilla) to determine whether breast cancer has spread beyond the breast.
At Dr. Swati Suradkar’s Breast Clinic, this procedure is done with utmost precision and care to ensure accurate cancer staging and optimal long-term outcomes while minimizing side effects.
🌸 Why Are Axillary Lymph Nodes Important?
The lymphatic system is part of the body’s natural defense mechanism.
Cancer cells from the breast may sometimes travel to the axillary lymph nodes first before spreading to other parts of the body.
Assessing these nodes helps your doctor:
- Understand the stage of breast cancer
- Plan the best treatment approach
- Predict the prognosis (outcome)
⚙️ Indications for Axillary Dissection
Axillary dissection is recommended when:
- Cancer is detected in lymph nodes (by biopsy or sentinel node biopsy)
- Multiple sentinel lymph nodes are positive for cancer
- Large or locally advanced breast cancer is present
- Recurrent or residual cancer after previous surgery
🩷 It may also be performed when sentinel node biopsy is not possible or available.
Oncoplasty
Oncoplasty
Oncoplastic Breast Surgery (Oncoplasty) is an advanced surgical technique that combines oncologic (cancer removal) surgery with plastic (reconstructive) surgery.
It ensures complete cancer removal without compromising the shape, size, or appearance of the breast.
🧬 Advantages of Oncoplastic Surgery
✅ Ensures complete cancer removal with clear margins
✅ Maintains breast shape and appearance
✅ Reduces need for mastectomy in many cases
✅ Enhances self-image and confidence
✅ Allows one-stage reconstruction — no need for multiple surgeries
✅ Can be combined with radiation therapy post-surgery
WIDE LOCAL EXCISION
WIDE LOCAL EXCISION
Wide Local Excision (WLE) is a breast-conserving surgery in which the surgeon removes the breast tumour (or suspicious area) along with a margin of healthy breast tissue. This approach aims to treat the cancer while preserving as much of the breast as possible.
Benefits & Considerations
Benefits
- Preserves much of the breast — better cosmetic and body-image outcomes compared to full mastectomy.
- Oncologically safe in selected early-stage breast cancer when combined with radiotherapy.
- Shorter recovery compared to more extensive surgery.
Considerations
- There is a possibility of further surgery if margins are not clear (i.e., cancer close to or at the edge of removed tissue) and may require re-excision or shift to mastectomy.
- Radiotherapy is almost always required afterwards.
- The aesthetic result depends on tumour size, location, breast size/shape and surgeons’ technique.
- Some risk of changes in breast shape (dimpling, asymmetry) especially if a large volume is removed.
Mammoplasty
MAMMOPLASTY
Mammoplasty (Breast Surgery)
Restoring Confidence, Comfort, and Natural Contour
Mammoplasty refers to a group of surgical procedures designed to reshape or modify the breast to achieve an aesthetically pleasing, balanced, and comfortable appearance.
As a Consultant Breast Surgeon, Dr. Swati Suradkar provides expert, compassionate care for women seeking either reconstructive or cosmetic improvement — always prioritizing safety, symmetry, and natural results.
Types of Mammoplasty
1. Breast Reduction (Reduction Mammoplasty)
Ideal for women with large, heavy breasts that cause neck, shoulder, or back pain. The procedure removes excess breast tissue, fat, and skin to achieve a lighter, more proportionate contour. It can significantly improve posture, comfort, and confidence.
2. Breast Augmentation (Augmentation Mammoplasty)
Enhances breast volume and shape using implants or fat transfer techniques. This procedure helps restore fullness lost after pregnancy, weight loss, or aging, creating a natural, youthful silhouette.
3. Breast Lift (Mastopexy)
Addresses sagging or drooping breasts by tightening tissue and repositioning the nipple for a firmer, more youthful shape. A lift can be performed alone or combined with augmentation or reduction for optimal results.
4. Breast Reconstruction
For patients undergoing breast cancer surgery (such as mastectomy or lumpectomy), reconstruction restores breast shape and symmetry. Dr. Suradkar works closely with each patient to plan reconstruction that aligns with their body, health, and personal preferences.
Incision and Drainage (I&D) of Abscess BREAST SURGERY
I &D of Abscess
💉 Incision and Drainage (I&D) of Abscess
Incision and Drainage (I&D) is a minor surgical procedure performed to treat an abscess — a painful, swollen lump filled with pus caused by infection.
At Dr. Swati Suradkar’s Breast Clinic, this procedure is done under sterile conditions to relieve pain, control infection, and promote quick healing.
🌸 What Is an Abscess?
An abscess is a localized collection of pus under the skin or inside the breast tissue.
It usually occurs due to:
- Bacterial infection (commonly Staphylococcus aureus)
- Blocked ducts or injured skin
- Breastfeeding-related infections (lactational abscess)
If left untreated, an abscess can enlarge, become more painful, or lead to spreading infection.
Microductectomy
Microductectomy
Microductectomy (Duct Excision Surgery)
Microductectomy — also known as Single Duct Excision or Minor Duct Excision — is a short surgical procedure used to remove a single milk duct from the breast. It is most commonly performed to diagnose and treat nipple discharge, especially when the discharge is bloody, persistent, or coming from one duct only.At Dr. Swati Suradkar’s Breast Clinic, we use microsurgical precision and modern imaging guidance to ensure accurate diagnosis, minimal scarring, and excellent cosmetic outcomes.
🌸 When Is Microductectomy Recommended?
Your doctor may recommend microductectomy if you have:
- Nipple discharge that is spontaneous, persistent, or blood-stained
- Discharge from a single duct (usually one opening on the nipple)
- Normal imaging (mammogram/ultrasound) but ongoing symptoms
- Suspicion of a small benign growth like intraductal papilloma or ductal lesion
It is both diagnostic and therapeutic — the procedure removes the abnormal duct and also helps confirm the underlying cause through pathology testing.
⚙️ Aftercare and Recovery
- A light dressing is applied for 2–3 days.
- Mild discomfort, bruising, or swelling may occur for a few days.
- Pain relief and antibiotics are prescribed.
- You can usually return to normal activities within 2–3 days.
- Avoid pressure or tight clothing on the operated area for a week.
- The final biopsy report is typically available within 5–7 days.
🧬 Benefits of Microductectomy
✅ Eliminates the cause of nipple discharge ✅ Provides definitive diagnosis through histopathology ✅ Minimally invasive with excellent cosmetic outcome ✅ Usually no impact on breast shape or future breastfeeding✅ Short recovery and minimal downtime
Total Duct Excision
Total Duct Excision
Total Duct Excision (TDE)
Total Duct Excision, also known as Hadfield’s Procedure, is a surgical operation in which all major milk ducts beneath the nipple and areola are removed.
This procedure is performed to treat persistent or recurrent nipple discharge that comes from multiple ducts, or when no specific single duct can be identified for removal.
At Dr. Swati Suradkar’s Breast Clinic, we perform this surgery using precise, cosmetic techniques to ensure safe treatment with minimal scarring and optimal breast appearance.
🌸 Why Is Total Duct Excision Done?
Your breast surgeon may recommend TDE if you have:
- Nipple discharge from several ducts (often both clear or blood-stained)
- Recurrent discharge even after previous microductectomy
- Non-diagnostic imaging but ongoing symptoms
- Papillomatosis, duct ectasia, or chronic infection of the ducts
- Suspicion of underlying intraductal lesions on duct imaging
TDE is both diagnostic and therapeutic — it removes the diseased ducts and provides tissue for pathology analysis to rule out cancer or other abnormalities.
⚙️ Recovery and Aftercare
- Dressing: Light dressing kept for 2–3 days
- Pain: Mild discomfort or swelling for a few days
- Antibiotics & pain relief will be prescribed
- Normal activities: Usually resume in 3–5 days
- Follow-up: Suture removal (if required) after about a week
- Breastfeeding: Future breastfeeding from the operated breast is not possible, as the milk ducts are removed
🌿 Benefits of Total Duct Excision
✅ Permanently treats persistent or bothersome nipple discharge
✅ Provides definitive diagnosis when imaging is inconclusive
✅ Cosmetically hidden scar at the edge of the areola
✅ Short, safe, and effective day-care surgery
✅ Prevents repeated infections and anxiety about discharge
Breast AUGMENTATION Surgery
Augmentation
Breast Augmentation
(Breast Enlargement Surgery)
Breast Augmentation, also known as Augmentation Mammaplasty, is a cosmetic surgical procedure that enhances the size, shape, and fullness of the breasts using breast implants or fat transfer.
At Dr. Swati Suradkar’s Breast Clinic, we specialize in safe, natural-looking augmentation tailored to your body type and personal goals, helping you feel more confident and balanced in your appearance.
🌸 Why Women Choose Breast Augmentation
Women may consider breast augmentation for several reasons, including:
- Naturally small or underdeveloped breasts
- Loss of breast volume after pregnancy, breastfeeding, or weight loss
- To restore symmetry if one breast is smaller than the other
- To enhance body proportion or confidence
- As reconstruction after breast cancer surgery
Whatever the reason, the goal is always the same — to help you feel confident, feminine, and natural in your body.
🩺 Types of Breast Augmentation
1. Implant-Based Augmentation
Breast implants are inserted behind the breast tissue or chest muscle.
Types of implants include:
- Silicone implants – soft, natural feel and appearance
- Saline implants – filled with sterile salt water
- Anatomical (teardrop) or round shapes based on desired contour
2. Fat Transfer Augmentation
Your own fat is taken from areas like the abdomen or thighs (via liposuction), purified, and then injected into the breasts.
✅ No foreign material
✅ Natural look and feel
✅ Ideal for mild to moderate enhancement
🌿 Benefits of Breast Augmentation
✅ Improved breast shape, volume, and contour
✅ Enhanced body confidence and posture
✅ Natural and long-lasting results with modern implants
✅ Safe and customizable according to individual needs
✅ Minimal visible scarring and quick recovery
Breast Reduction Surgery
Breast Reduction Surgery
Breast reduction surgery (reduction mammoplasty) helps reshape and reduce large, heavy breasts to achieve a more balanced, comfortable contour. Dr. Swati Suradkar combines precision and aesthetics to remove excess breast tissue, fat, and skin, relieving neck, shoulder, and back pain while enhancing body proportion.The procedure is performed under anesthesia with advanced techniques to minimize scarring and maintain natural shape. Most patients resume routine activities within two weeks and experience lasting physical and emotional relief.Benefits:
- Improved posture and comfort
- Easier physical activity
- Enhanced body symmetry
- Boosted confidence