What is a Simple Mastectomy?

A simple mastectomy, also called a total mastectomy, is a surgical procedure that involves the complete removal of one or both breasts, including the nipple, areola, and most of the overlying skin. It is commonly recommended for individuals with breast cancer or those at high risk of developing it. Unlike a modified radical mastectomy, this surgery does not involve the removal of lymph nodes from the axilla unless done alongside a separate lymph node biopsy.

The goal of a simple mastectomy is to remove all breast tissue to eliminate the cancer or reduce the risk of recurrence. It is a straightforward and effective option for patients with extensive ductal carcinoma in situ (DCIS), early invasive cancers, or those choosing surgery for preventive reasons.

When is a Simple Mastectomy Recommended?

A simple mastectomy may be suggested in several situations. It is commonly performed when:

• There is a large or widespread tumor in the breast
• A patient has multifocal DCIS (ductal carcinoma in situ)
• There is a recurrence of cancer in a previously treated breast
• A patient chooses mastectomy over breast-conserving options like lumpectomy
• It is part of a risk-reducing (prophylactic) mastectomy for individuals with BRCA mutations or a strong family history

This procedure may also be combined with sentinel lymph node biopsy if there’s a need to assess cancer spread.

How is a Simple Mastectomy Performed?

The surgery is performed under general anesthesia and typically takes around 1.5 to 2 hours. During the procedure, Dr. Kanmani makes an incision across the breast and removes all breast tissue, including the nipple-areolar complex and most of the overlying skin. In some cases, skin-sparing mastectomy or nipple-sparing mastectomy may be offered if the patient is a suitable candidate and planning for reconstruction.

If necessary, a sentinel lymph node biopsy or axillary node sampling may be performed through a separate small incision. After the tissue is removed, one or more drainage tubes may be placed under the skin to prevent fluid buildup. The incision is then closed with sutures, and the area is dressed.

The removed breast tissue is sent for histopathological analysis to confirm cancer removal and assess margins.

What to Expect During Recovery

Most patients stay in the hospital for one to two days after surgery. Recovery from a simple mastectomy is generally smooth with proper care and support. Initial discomfort, swelling, and tightness across the chest area are common and can be managed with pain relief medications.

Drains are typically removed within 5 to 10 days, and sutures are either absorbable or removed at a follow-up appointment. You will be given specific instructions for:

• Wound care and hygiene management
• Drain management, if applicable
• Avoiding heavy lifting
• Gentle arm exercises to maintain shoulder movement
• Wearing a post-mastectomy bra or garment for comfort

Most women can return to light activities within 2 weeks, and full recovery is expected in 4 to 6 weeks, depending on individual health and healing.

Emotional Support and Counseling

Undergoing a mastectomy is not just a physical journey—it’s an emotional one. Many women experience a range of feelings, including sadness, anxiety, or concerns about body image. Dr. Kanmani and her team offer compassionate pre- and post-operative counseling, helping patients prepare emotionally and practically.

For patients interested in breast reconstruction, Dr. Kanmani provides referrals and coordinates with plastic surgeons to discuss timing and options, whether immediate reconstruction or delayed.

Benefits of a Simple Mastectomy

Simple mastectomy is a proven, effective surgical treatment with several benefits:

• Complete removal of cancer-affected breast tissue
• Reduced need for radiation therapy in some cases
• Option for risk reduction in high-risk individuals
• Straightforward recovery with fewer complications
• Option to combine with reconstruction

While the idea of breast removal can be daunting, many patients find reassurance in knowing that the cancer has been thoroughly addressed.

Why Choose Dr. Kanmani Govindrao Telkar?

Dr. Kanmani Govindrao Telkar is a compassionate and experienced general and breast surgeon with extensive expertise in performing mastectomies and breast cancer surgeries. With MBBS and MS (General Surgery) qualifications, she is known for combining surgical precision with deep empathy for her patients.

Her approach includes:

• Clear and honest communication
• Carefully tailored treatment plans
• Minimally invasive techniques
• Excellent post-operative care
• Supportive guidance through recovery and beyond

Whether you are newly diagnosed or seeking a second opinion, Dr. Kanmani is committed to helping you make confident, informed decisions for your health.

Take Control of Your Breast Health

A breast cancer diagnosis brings many questions and concerns. A simple mastectomy offers a safe, effective, and often life-saving treatment option. With the right support and skilled surgical care, you can move forward with confidence and strength.

If you’re considering a mastectomy or want to understand your options better, Dr. Kanmani Govindrao Telkar is here to guide you every step of the way. From diagnosis to recovery, she offers a combination of surgical excellence and heartfelt support.

Schedule your consultation today and take the next step toward healing and peace of mind.