Mastectomy

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What is Mastectomy?

Mastectomy is a surgical procedure to remove all breast tissue to treat or prevent breast cancer. While some forms of mastectomy involve removing the entire breast, others can preserve all or some of the nipple, areola, and breast skin.

Who Needs a Mastectomy?

Mastectomy may be recommended for you if:

  • Your tumor is large relative to your breast size.
  • You have two or more tumors in different areas of your breast.
  • You have the BRCA1 or BRCA2, or other high-risk gene mutation.
  • You believe a mastectomy would give you greater peace of mind than a lumpectomy.
  • You have had breast cancer before in the same breast.
  • You have multiple or very large areas of DCIS. (link to malignant breast disease page)
  • Your healthcare provider recommends that you avoid radiation due to prior radiation to the same breast or other health issues.

Board-Certified Surgeon

MICHELE LEY, MD, FACS

Dr. Ley, a breast surgical oncologist in Tucson since 2006, delivers compassionate and personalized care to create tailored treatment plans based on the latest research. Specializing in surgical care for breast cancer and high-risk patients, she employs minimally invasive techniques and practices oncoplastic surgery to optimize outcomes.

More About Dr. Ley

What to Expect

During mastectomy surgery, all of the breast tissue is typically removed, as well as some underarm lymph nodes. You may undergo a mastectomy to remove one breast, which is called a unilateral mastectomy, or both breasts, known as a bilateral mastectomy.

There are various kinds of mastectomy. Our team will work with you to determine which is best for your individual case.

Total Mastectomy: Also called a simple mastectomy, your surgeon will remove all of the breast tissue and much of the skin, as well as the nipple and areola.

Skin Sparing Mastectomy: All of the breast tissue, the nipple, and usually the areola is removed, while most of the skin of the breast is preserved.

Nipple Sparing Mastectomy: All of the breast tissue is removed, while the nipple, areola, and skin of the breast are preserved.

Modified Radical Mastectomy: This procedure removes the breast tissue, and most underarm lymph nodes. The amount of skin and nipple removed is variable.

Radical Mastectomy: During this procedure, all of the breast tissue and skin, nipple and areola, chest wall muscles under the breast, and some of the underarm lymph nodes are removed. While used often in the distant past, this procedure is rarely performed today.

Prophylactic Mastectomy: Also called a risk-reducing or preventative mastectomy, this procedure is done to reduce the risk of developing breast cancer. Your doctor may recommend this option if you have the BRCA1 or BRCA2 mutation, and/or have a strong family history of breast cancer. All of the types of mastectomy are available when having a risk-reducing mastectomy. It is important to understand that the risk of cancer is very low after this surgery but never zero. Speak with your doctor today about whether this option is right for you.

“The level of care is excellent.”

Dr. Ley helped me through the first round of BC in 2017 with kindness, compassion and expertise! I had absolutely no reservations when trusting her for a 2021 and now for the 3rd time I can’t imagine going through this without her. She is a lion when it comes to fighting for you, calls you personally even though she has to be the busiest Dr. and mother I know. She’s considerate of your needs, fears and concerns and never lets you go it alone. Can’t say enough good!

Dr. Ley is extremely good at explaining your breast cancer, treatment options, and everything she is going to do. She is a masterful surgeon and uses plastic techniques to close incisions, leaving minimal scarring. In addition, she is warm, pleasant, and a lovely person. I am so happy that I found her based on a friend’s recommendation. I can’t say enough about her and the practice’s excellent care.

When diagnosed with Breast Cancer my daughter, which is a surgical nurse, started searching for a breast surgeon for me. Within a short period of time, she called stating “Mom, Dr Ley is the surgeon for you”! I have not been disappointed & have had nothing but positive experiences with Dr. Ley & her staff. They truly care.

Breast Reconstruction Following Mastectomy

Breast reconstruction can be performed at the same time as a mastectomy or at a later date. While Dr. Ley does not perform breast reconstruction procedures, she is happy to recommend a skilled plastic surgeon in the area to help you with this part of your breast health journey. The breast and plastic surgeons work closely together, often at the same time in the operating room if possible.

Mastectomy FAQs

Does Insurance cover mastectomy bras?

Yes, some insurance companies may cover the cost of your mastectomy bra after your surgery. At Tucson Breast Health Specialists, we offer Prairie Wear medical bras for our post-surgery patients. The patient will need to pay for a garment, then submit with a prescription to their insurance for reimbursement. Please contact us today to learn more about these bras and insurance coverage.

When is a mastectomy recommended?

Mastectomy may be recommended in many different cases. These may include if you have a breast tumor that is large relative to your breast size, have two or more tumors in different areas of your breast, have a gene mutation, and patient preference. If you are interested in learning more about mastectomy and if it is the right choice for you, contact us today to schedule a consultation with Dr. Ley.

Will mastectomy prevent breast cancer?

Yes, mastectomy is a surgical procedure that can be used to prevent or treat breast cancer. Most breast tissue may removed during this procedure. Mastectomy does not guarantee that all breast tissue is removed. Risk-reducing mastectomy significantly reduces the risk of breast cancer but does not fully prevent it. There are various types of mastectomy; contact our Tucson, AZ clinic today to learn more about your options.

Contact Us Today

At Tucson Breast Health Specialists, we are here to support you on your breast health journey. For more information regarding mastectomy, please contact our Tucson, AZ office today.

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