1. What is a subcutaneous mastectomy?
    The removal of all the breast tissue under the skin of the breast is called a subcutaneous mastectomy. The nipple and areola will be left in place.  The breast will usually be flat after the operation.
  1. Anaesthetic
    This procedure will require an anaesthetic.
  1. What are the risks of this specific procedure?
    There are risks and complications with this procedure. They include but are not limited to the following:

    General risks:

  • Infection can occur, requiring antibiotics and further treatment.
  • Bleeding could occur and may require a return to the operating room. Bleeding is more common if you have been taking blood thinning drugs such as Warfarin, Asprin, Clopidogrel (Plavix or Iscover) or Dipyridamole (Persantin or Asasantin).
  • Small areas of the lung can collapse, increasing the risk of chest infection. This may need antibiotics and physiotherapy.
  • Increased risk in obese people of wound infection, chest infection, heart and lung complications, and thrombosis.
  • Heart attack or stroke could occur due to the strain on the heart.
  • Blood clot in the leg (DVT) causing pain and swelling. In rare cases, part of the clot may break off and go to the lungs.
  • Death as a result of this procedure is possible.

    Specific risks:

  • A collection of fluid may develop under the skin which the doctor may need to drain with a needle and this may have to be done several times.
  • The edges of the wound may lose blood supply and change colour and may have to be excised.
  • Depression of the nipple may occur due to adherence to the muscle.
  • Healing of the wound may be abnormal and the wound can be thickened and red (a keloid scar) and the scar may be painful
  • All the breast tissue may not be removed.
  • Increased risk of smokers of wound and chest infections, heart and lung complications and thrombosis.