{"id":2119,"date":"2025-11-19T10:29:23","date_gmt":"2025-11-19T10:29:23","guid":{"rendered":"https:\/\/ebruayvazoglu.com\/?page_id=2119"},"modified":"2026-03-03T09:13:10","modified_gmt":"2026-03-03T09:13:10","slug":"mastectomy-surgery","status":"publish","type":"page","link":"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/","title":{"rendered":"Mastectomy Surgery"},"content":{"rendered":"\n  <div class=\"banner has-hover\" id=\"banner-1622580111\">\n          <div class=\"banner-inner fill\">\n        <div class=\"banner-bg fill\" >\n            <img decoding=\"async\" width=\"1020\" height=\"574\" src=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/11\/Mastektomi-Ameliyati-1400x788.jpg\" class=\"bg attachment-large size-large\" alt=\"Ankara\">                                    \n                    <\/div>\n\t\t\n        <div class=\"banner-layers container\">\n            <div class=\"fill banner-link\"><\/div>            \n   <div id=\"text-box-1900318755\" class=\"text-box banner-layer x50 md-x50 lg-x50 y50 md-y50 lg-y50 res-text\">\n                                <div class=\"text-box-content text dark\">\n              \n              <div class=\"text-inner text-center\">\n                  \n              <\/div>\n           <\/div>\n                            \n<style>\n#text-box-1900318755 {\n  width: 60%;\n}\n#text-box-1900318755 .text-box-content {\n  font-size: 100%;\n}\n@media (min-width:550px) {\n  #text-box-1900318755 {\n    width: 60%;\n  }\n}\n<\/style>\n    <\/div>\n \n        <\/div>\n      <\/div>\n\n            \n<style>\n#banner-1622580111 {\n  padding-top: 400px;\n}\n@media (min-width:550px) {\n  #banner-1622580111 {\n    padding-top: 40%;\n  }\n}\n<\/style>\n  <\/div>\n\n\n\n\t<section class=\"section\" id=\"section_1831532076\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n  <div id=\"page-header-1620503318\" class=\"page-header-wrapper\">\n  <div class=\"page-title dark simple-title\">\n\n    \n    <div class=\"page-title-inner container align-center text-center flex-row-col medium-flex-wrap\" >\n              <div class=\"title-wrapper flex-col\">\n          <h1 class=\"entry-title mb-0\">\n            Mastectomy Surgery in Ankara, Turkey          <\/h1>\n        <\/div>\n                    <div class=\"title-content flex-col\">\n        <div class=\"title-breadcrumbs pb-half pt-half\"><\/div>      <\/div>\n    <\/div>\n\n       <\/div>\n    <\/div>\n  \n\t\t<\/div>\n\n\t\t\n<style>\n#section_1831532076 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n  background-color: #aa2665;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1526605202\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1072106677\">\n\n\t<div id=\"col-1197581471\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Mastectomy surgery is the procedure of surgically removing all or a large part of the breast tissue. This method, which is generally performed in the treatment of breast cancer, is preferred in order to remove cancerous tissue from the body and prevent the disease from spreading.<\/p>\n<p>Radical mastectomy is a more extensive surgical method in which the surrounding lymph nodes are removed along with the breast tissue. Different techniques such as subcutaneous or total mastectomy are selected according to the extent of the disease and the characteristics of the patient.<\/p>\n<p>Post-mastectomy reconstruction may be performed to reshape the breast tissue. This procedure aims to improve patients\u2019 postoperative adaptation and quality of life both aesthetically and psychologically.<\/p>\n<p>In the postoperative period, wound care, pain management, and infection risk must be kept under control. In addition, patients\u2019 receiving psychosocial support and being followed with regular medical check-ups are necessary for a healthy recovery process.<\/p>\n<table>\n<tbody>\n<tr>\n<td>What You Need to Know<\/td>\n<td>Information<\/td>\n<\/tr>\n<tr>\n<td>Procedure Description<\/td>\n<td>Mastectomy is the surgical removal of all or part of the breast; it is generally performed in the treatment of breast cancer.<\/td>\n<\/tr>\n<tr>\n<td>Purpose<\/td>\n<td>The goal is to treat the disease or reduce risk by completely removing cancerous breast tissue.<\/td>\n<\/tr>\n<tr>\n<td>Types of Mastectomy<\/td>\n<td>There are subtypes such as total (simple) mastectomy, skin-sparing mastectomy, nipple-sparing mastectomy, and radical mastectomy.<\/td>\n<\/tr>\n<tr>\n<td>In Which Cases Is It Performed<\/td>\n<td>It may be performed in patients diagnosed with breast cancer, those with widespread ductal carcinoma in situ (DCIS), or those at high risk (such as BRCA mutation).<\/td>\n<\/tr>\n<tr>\n<td>Surgical Process<\/td>\n<td>The procedure is performed under general anesthesia; it usually takes between 1 and 3 hours.<\/td>\n<\/tr>\n<tr>\n<td>Lymph Node Evaluation<\/td>\n<td>When necessary, axillary lymph nodes may be removed (axillary dissection) in the same session, or a sentinel lymph node biopsy may be performed.<\/td>\n<\/tr>\n<tr>\n<td>Aesthetic Approach<\/td>\n<td>In suitable patients, breast reconstruction (breast re-creation) may be planned simultaneously or at a later stage.<\/td>\n<\/tr>\n<tr>\n<td>Hospital Stay<\/td>\n<td>A hospital stay of 1 to 3 days is generally anticipated.<\/td>\n<\/tr>\n<tr>\n<td>Recovery Process<\/td>\n<td>In the first few weeks, there may be pain and limitation in arm movements; physical therapy may be required.<\/td>\n<\/tr>\n<tr>\n<td>Risks<\/td>\n<td>Complications such as infection, hematoma, seroma (fluid accumulation), wound-healing problems, and rarely limitation of shoulder movement may occur.<\/td>\n<\/tr>\n<tr>\n<td>Psychological Effects<\/td>\n<td>Breast loss may create emotional and psychological effects in the patient; therefore, psychological support is recommended.<\/td>\n<\/tr>\n<tr>\n<td>Reconstruction Options<\/td>\n<td>Reconstruction can be performed with a silicone implant or with the patient\u2019s own tissue (autologous tissue).<\/td>\n<\/tr>\n<tr>\n<td>Follow-up and Monitoring<\/td>\n<td>Regular oncologic follow-up, imaging, and clinical examinations are required after surgery.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1197581471 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1526605202 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1747931964\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-width:-50px 0px 0px 0px;margin:-50px 0px 0px 0px;\">\n\t<\/div>\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1476553398\">\r\n\r\n\n\t<div id=\"col-289359509\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n<p>You can contact Prof. Dr. Ebru Soy, one of the doctors performing  in Ankara, to get information about  prices, the process, and the hospital where  is performed.<\/p>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-289359509 > .col-inner {\n  margin: -60px 0px 0px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1982423320\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner dark\" style=\"background-color:#aa2665;\" >\n\t\t\t\n\t\t\t\r\n\r\n<div class=\"row align-center\"  id=\"row-1168354763\">\r\n\r\n\n\t<div id=\"col-78322934\" class=\"col medium-5 small-12 large-5\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover border-gorsel-hakkimda x md-x lg-x y md-y lg-y\" id=\"image_1561143988\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"653\" height=\"789\" src=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/ebrusoy-hakkimda.webp\" class=\"attachment-large size-large\" alt=\"Ankara\" srcset=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/ebrusoy-hakkimda.webp 653w, https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/ebrusoy-hakkimda-331x400.webp 331w\" sizes=\"(max-width: 653px) 100vw, 653px\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_1561143988 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-868061274\" class=\"col medium-7 small-12 large-7\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-3963759195\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Prof. Dr. Ebru Ayvazo\u011flu Soy<\/strong><\/div>\r\n\t\t\n<style>\n#text-3963759195 {\n  font-size: 1.25rem;\n}\n@media (min-width:550px) {\n  #text-3963759195 {\n    font-size: 2rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\t<div id=\"text-3175309520\" class=\"text text-justify\">\n\t\t\r\n\r\n<p><strong>Education;<\/strong><\/p>\r\n<p><strong>High School:<\/strong> TED Ankara College \u2013 Graduation: 1998<br \/><strong>Faculty of Medicine:<\/strong> <a href=\"https:\/\/tip.hacettepe.edu.tr\/\" target=\"_blank\" rel=\"noopener\">Hacettepe University Faculty of Medicine<\/a> \u2013 Graduation: 2005<br \/><strong>Specialization:<\/strong> General Surgery Residency Training \u2013 <a href=\"https:\/\/tip.baskent.edu.tr\/kw\/index.php\" target=\"_blank\" rel=\"noopener\">Ba\u015fkent University Faculty of Medicine<\/a>, Department of General Surgery \u2013 2012<\/p>\r\n<p><strong>Post-Specialization Career;<\/strong><\/p>\r\n<p><strong>2012\u20132014:<\/strong> Compulsory public service \u2013 Mu\u015f State Hospital<br \/><strong>January 2014 \u2013 November 2022:<\/strong> Ba\u015fkent University Faculty of Medicine, Department of General Surgery \u2013 Served as a specialist physician and later as an academician<br \/><strong>March 2016 \u2013 October 2017:<\/strong> Ba\u015fkent University Istanbul Practice Hospital \u2013 Deputy Director Responsible for Liver Transplantation<br \/><strong>June 2020 \u2013 November 2022:<\/strong> Ba\u015fkent University Ankara Hospital \u2013 Director of the International Patient Department<\/p>\r\n\t\t\t<\/div>\n\t\r\n<a href=\"https:\/\/ebruayvazoglu.com\/en\/about-me\/\" class=\"button white is-outline is-small\" style=\"border-radius:99px;\">\n\t\t<span>Review Resume<\/span>\n\t<\/a>\n\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905319478498\" class=\"button white is-small\" style=\"border-radius:99px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Get in Touch<\/span>\n\t<\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1982423320 > .col-inner {\n  padding: 30px 30px 1px 30px;\n  margin: -30px 0px -40px 0px;\n  border-radius: 20px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1747931964 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1319432637\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1960003838\">\n\n\t<div id=\"col-892436452\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#What_Is_Mastectomy_Surgery\" >What Is Mastectomy Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#When_does_mastectomy_become_the_only_option\" >When does mastectomy become the only option?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#If_I_receive_chemotherapy_before_surgery_does_it_change_my_mastectomy_decision\" >If I receive chemotherapy before surgery, does it change my mastectomy decision?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#If_I_have_a_high_genetic_risk_such_as_BRCA_why_is_mastectomy_surgery_recommended\" >If I have a high genetic risk (such as BRCA), why is mastectomy surgery recommended?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#What_preparations_and_imaging_are_required_before_mastectomy_surgery\" >What preparations and imaging are required before mastectomy surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#What_are_the_types_of_mastectomy\" >What are the types of mastectomy?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#Is_everyone_a_suitable_candidate_for_nipple-sparing_mastectomy_NSM_surgery\" >Is everyone a suitable candidate for nipple-sparing mastectomy (NSM) surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#How_is_the_decision_made_regarding_the_axillary_lymph_nodes_during_mastectomy_surgery\" >How is the decision made regarding the axillary lymph nodes during mastectomy surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#So_what_if_cancer_is_found_in_the_sentinel_node\" >So what if cancer is found in the sentinel node?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#When_is_radiotherapy_radiation_therapy_needed_after_mastectomy_surgery\" >When is radiotherapy (radiation therapy) needed after mastectomy surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#When_is_immediate_breast_reconstruction_performed_at_the_same_time_as_mastectomy\" >When is immediate breast reconstruction performed at the same time as mastectomy?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#What_is_the_difference_between_%E2%80%9Cunder_the_muscle%E2%80%9D_and_%E2%80%9Cover_the_muscle%E2%80%9D_prepectoral_techniques_in_implant_placement_with_mastectomy\" >What is the difference between \u201cunder the muscle\u201d and \u201cover the muscle\u201d (prepectoral) techniques in implant placement with mastectomy?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#What_does_the_Enhanced_Recovery_After_Surgery_ERAS_protocol_mean_for_mastectomy\" >What does the Enhanced Recovery After Surgery (ERAS) protocol mean for mastectomy?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#What_are_drains_placed_after_mastectomy_used_for_and_when_are_they_removed\" >What are drains placed after mastectomy used for, and when are they removed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#What_is_done_if_seroma_fluid_collection_or_hematoma_blood_collection_occurs_after_mastectomy_surgery\" >What is done if seroma (fluid collection) or hematoma (blood collection) occurs after mastectomy surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#What_is_the_risk_of_surgical_site_infection_SSI_after_mastectomy_surgery_and_why_is_long_follow-up_required\" >What is the risk of surgical site infection (SSI) after mastectomy surgery, and why is long follow-up required?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#How_does_the_recovery_process_progress_after_mastectomy_surgery\" >How does the recovery process progress after mastectomy surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#Which_complications_may_develop_after_mastectomy_surgery\" >Which complications may develop after mastectomy surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#For_whom_is_mastectomy_surgery_recommended\" >For whom is mastectomy surgery recommended?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#Is_an_implant_or_reconstruction_possible_after_mastectomy_surgery\" >Is an implant or reconstruction possible after mastectomy surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#How_is_quality_of_life_affected_after_mastectomy_surgery\" >How is quality of life affected after mastectomy surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#What_should_be_considered_after_mastectomy_surgery\" >What should be considered after mastectomy surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#How_can_the_risk_of_lymphedema_be_reduced_after_mastectomy_surgery\" >How can the risk of lymphedema be reduced after mastectomy surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#Does_the_risk_of_cancer_recurrence_continue_after_mastectomy_surgery\" >Does the risk of cancer recurrence continue after mastectomy surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-26\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#When_should_exercises_be_started_after_mastectomy_surgery\" >When should exercises be started after mastectomy surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-27\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#Is_sexual_life_affected_after_mastectomy_surgery\" >Is sexual life affected after mastectomy surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-28\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#How_Long_Does_Mastectomy_Surgery_Take\" >How Long Does Mastectomy Surgery Take?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-29\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#Which_Doctor_or_Department_Should_One_Go_to_for_Mastectomy\" >Which Doctor or Department Should One Go to for Mastectomy?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-30\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#How_many_days_does_it_take_to_recover_from_mastectomy_surgery\" >How many days does it take to recover from mastectomy surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-31\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#Is_mastectomy_surgery_risky\" >Is mastectomy surgery risky?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-32\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-surgery\/mastectomy-surgery\/#Can_blood_be_drawn_from_the_arm_on_the_side_of_the_mastectomy\" >Can blood be drawn from the arm on the side of the mastectomy?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_Mastectomy_Surgery\"><\/span>What Is Mastectomy Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Mastectomy is the surgical removal of the entire breast in the treatment of breast cancer. Depending on the size and location of the tumor and the extent of the disease, different types such as total, skin-sparing, or nipple-sparing mastectomy can be performed. In some cases, both breasts may be removed (prophylactic mastectomy). Postoperative reconstruction (breast reconstruction) may be planned. It is an effective surgical method to ensure oncologic control.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"When_does_mastectomy_become_the_only_option\"><\/span>When does mastectomy become the only option?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In breast cancer treatment, the primary goal\u2014if it is oncologically safe (i.e., safe in terms of cancer)\u2014is to preserve the breast (we call this lumpectomy or breast-conserving surgery). However, in some cases this is not possible, and removing the entire breast (mastectomy) becomes both the safest and the only option.<\/p>\n<p>These situations in which preserving the breast is not possible are as follows:<\/p>\n<ul>\n<li>Multifocal (multicentric) disease (more than one tumor in different quadrants of the breast)<\/li>\n<li>Suspicious microcalcifications spread over a very wide area<\/li>\n<li>Inability to obtain clear surgical margins (if the area around the tumor cannot be completely cleared)<\/li>\n<li>Inflammatory breast cancer (an aggressive type)<\/li>\n<li>Very extensive ductal carcinoma in situ (DCIS)<\/li>\n<li>Inability to receive radiotherapy in the first trimester of pregnancy<\/li>\n<li>Some rare genetic predispositions (extreme sensitivity to radiotherapy)<\/li>\n<\/ul>\n<p>These situations make mastectomy necessary to minimize the risk of the cancer recurring in the same breast (local recurrence) and to provide the best oncologic control.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"If_I_receive_chemotherapy_before_surgery_does_it_change_my_mastectomy_decision\"><\/span>If I receive chemotherapy before surgery, does it change my mastectomy decision?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Neoadjuvant Systemic Therapy (NST) means receiving chemotherapy or targeted therapy before surgery. The aim is to shrink the tumor to facilitate surgery and even to clear the lymph nodes in the armpit.<\/p>\n<p>A patient who initially required mastectomy because the tumor was very large may become a suitable candidate for breast-conserving surgery if they respond excellently to this treatment.<\/p>\n<p>However, an important psychological factor comes into play here. Studies show that even among patients who technically become eligible to preserve the breast, a significant proportion (around 30\u201335%) still prefer mastectomy. The reason is patients\u2019 concerns about local recurrence. Patients may choose mastectomy as a more definitive solution due to worries such as \u201cthere may be invisible foci inside the breast that were not affected by chemotherapy\u201d or the thought of \u201cI want complete peace of mind.\u201d<\/p>\n<p>This shows how important it is for the surgeon to manage the \u201cshared decision-making\u201d process by listening not only to technical possibilities but also to the patient\u2019s concerns.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"If_I_have_a_high_genetic_risk_such_as_BRCA_why_is_mastectomy_surgery_recommended\"><\/span>If I have a high genetic risk (such as BRCA), why is mastectomy surgery recommended?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>This is different from therapeutic mastectomy; it is called Risk-Reducing Mastectomy (RRM). The aim here is not to treat an existing cancer but to minimize the risk of developing cancer in the future.<\/p>\n<p>Having high-risk genetic mutations such as BRCA1 or BRCA2 increases a woman\u2019s lifetime risk of developing breast cancer many times compared to the normal population.<\/p>\n<p>Risk-Reducing Mastectomy is the most effective preventive strategy against this high risk. It has been proven that this surgery reduces the risk of breast cancer in BRCA carriers by approximately 85% to 100%. This surgery is generally performed bilaterally, meaning on both breasts.<\/p>\n<p>So, if there is cancer in one breast, should the other healthy breast (the contralateral breast) also be removed? If the patient has a proven high genetic risk such as BRCA or was diagnosed with cancer at a very young age such as under 35, performing RRM on the contralateral breast is an option.<\/p>\n<p>However, it has been proven that for a patient who does not have a genetic\/familial high risk, removing the other healthy breast does not improve overall survival. National cancer guidelines do not routinely recommend contralateral RRM in this situation.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_preparations_and_imaging_are_required_before_mastectomy_surgery\"><\/span>What preparations and imaging are required before mastectomy surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The decision for mastectomy requires a multidisciplinary approach; planning should include consultations with a plastic surgeon, medical oncologist, and radiation oncologist.<\/p>\n<p>As a routine, mammography and ultrasound of both breasts are required. Breast MRI is not necessary for every patient, but it can be used to monitor response to preoperative chemotherapy or to fully understand the extent of the disease.<\/p>\n<p>Beyond imaging, the patient\u2019s overall health status is vital, especially if breast reconstruction is being planned. The main factors affecting the risk of complications are:<\/p>\n<p>Smoking (the most important risk factor that impairs wound healing)<\/p>\n<ul>\n<li>Uncontrolled diabetes<\/li>\n<li>High Body Mass Index (obesity)<\/li>\n<li>Hypertension<\/li>\n<\/ul>\n<p>Previous surgeries through areas such as the abdomen for repair with the patient\u2019s own tissue (flap)<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_are_the_types_of_mastectomy\"><\/span>What are the types of mastectomy?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Mastectomy is basically classified according to the amount of tissue removed and whether the skin is preserved.<\/p>\n<ul>\n<li>Simple (Total) Mastectomy: All breast glandular tissue, a large part of the overlying skin, the nipple, and the areola are removed. Generally, no extensive intervention is performed in the armpit.<\/li>\n<li>Modified Radical Mastectomy (MRM): In addition to simple mastectomy, this is the systematic removal of the axillary lymph nodes (Axillary Lymph Node Dissection).<\/li>\n<li>Skin-Sparing Mastectomy (SSM): The breast tissue and nipple are removed, but most of the breast skin is preserved. This skin envelope serves as a \u201cpocket\u201d for reconstruction (breast reconstruction) and is almost always combined with immediate reconstruction.<\/li>\n<li>Nipple-Sparing Mastectomy (NSM): This is the latest evolution of mastectomy techniques. While all breast tissue is removed, both the skin envelope and the nipple are preserved. The breast tissue is removed through a small incision made in a less visible area such as the inframammary fold. This technique provides superior cosmetic outcomes.<\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-892436452 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1319432637 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1766310458\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-1363250603\">\n\n\n\t<div id=\"col-1535499737\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(170, 38, 101);border-radius:15px;border-width:3px 3px 3px 3px;\">\n\t<\/div>\n\t\t\t\n\n<div class=\"row align-middle\"  id=\"row-854512940\">\n\n\n\t<div id=\"col-1314191533\" class=\"col medium-10 small-12 large-10\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-2283033806\" class=\"text show-for-small\">\n\t\t\n\n<div><strong>To Make an Appointment for Diseases in the Field of General Surgery<\/strong><\/div>\n\t\t\n<style>\n#text-2283033806 {\n  font-size: 1.5rem;\n  text-align: center;\n  color: rgb(170, 38, 101);\n}\n#text-2283033806 > * {\n  color: rgb(170, 38, 101);\n}\n@media (min-width:550px) {\n  #text-2283033806 {\n    font-size: 2rem;\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\t<div id=\"text-1094400000\" class=\"text hide-for-small\">\n\t\t\n\n<div><strong>To Make an Appointment for Diseases in the Field of General Surgery<br \/>\r\n<\/strong><\/div>\n\t\t\n<style>\n#text-1094400000 {\n  font-size: 1.25rem;\n  line-height: 1.05;\n  text-align: center;\n  color: #aa2665;\n}\n#text-1094400000 > * {\n  color: #aa2665;\n}\n@media (min-width:550px) {\n  #text-1094400000 {\n    font-size: 1.7rem;\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\t<div id=\"text-3908970368\" class=\"text\">\n\t\t\n\n<div>You can contact us via WhatsApp by clicking the button.<\/div>\n\t\t\n<style>\n#text-3908970368 {\n  text-align: center;\n}\n@media (min-width:550px) {\n  #text-3908970368 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-933498322\" class=\"col medium-2 small-12 large-2\"  >\n\t\t\t\t<div class=\"col-inner text-center\"  >\n\t\t\t\n\t\t\t\n\n\t<div class=\"img has-hover hide-for-small x md-x lg-x y md-y lg-y\" id=\"image_968182757\">\n\t\t<a class=\"\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=905319478498\" target=\"_blank\" rel=\"noopener\">\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-1.png\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"Ankara\" srcset=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-1.png 500w, https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-1-400x400.png 400w, https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-1-280x280.png 280w\" sizes=\"(max-width: 500px) 100vw, 500px\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\t\t\n<style>\n#image_968182757 {\n  width: 100%;\n}\n@media (min-width:550px) {\n  #image_968182757 {\n    width: 65%;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\t<div class=\"img has-hover show-for-small x md-x lg-x y md-y lg-y\" id=\"image_1729498728\">\n\t\t<a class=\"\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=905319478498\" target=\"_blank\" rel=\"noopener\">\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"512\" height=\"100\" src=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-3.png\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"Ankara\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\t\t\n<style>\n#image_1729498728 {\n  width: 100%;\n}\n@media (min-width:550px) {\n  #image_1729498728 {\n    width: 65%;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-933498322 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-933498322 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1535499737 > .col-inner {\n  padding: 20px 30px 1px 30px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 15px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1766310458 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_467450755\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1624718762\">\n\n\t<div id=\"col-1655195298\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"Is_everyone_a_suitable_candidate_for_nipple-sparing_mastectomy_NSM_surgery\"><\/span>Is everyone a suitable candidate for nipple-sparing mastectomy (NSM) surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>No, although NSM offers the best cosmetic result, it is not suitable for every patient. Ideal candidates are generally those undergoing surgery for prophylactic (risk-reducing) purposes or those with small tumors located away from the nipple.<\/p>\n<p>Traditionally, a high BMI, significant breast ptosis, or having previously received radiation therapy were considered barriers to NSM. Because radiotherapy impairs blood circulation to the nipple, the risk of tissue death (necrosis) was thought to be very high.<\/p>\n<p>However, current studies have shown that even in selected patients who have previously received radiation, this procedure can be performed safely with careful surgery.<\/p>\n<p>Today, the situations considered absolute contraindications for NSM are as follows:<\/p>\n<ul>\n<li>Inflammatory breast cancer<\/li>\n<li>Proof that cancer cells involve the nipple<\/li>\n<li>The two most important risks that patients should know are:<\/li>\n<li>Risk of partial or complete tissue death (necrosis) in the nipple.<\/li>\n<li>Risk of partial or complete loss of sensation in the nipple (because the nerves cannot be preserved).<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"How_is_the_decision_made_regarding_the_axillary_lymph_nodes_during_mastectomy_surgery\"><\/span>How is the decision made regarding the axillary lymph nodes during mastectomy surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>If there is no suspicious lymph node in the armpit on the patient\u2019s preoperative examination and ultrasound, the standard approach is Sentinel Lymph Node Biopsy (SLNB), i.e., \u201cSentinel Node\u201d biopsy. In this procedure, the \u201csentinel\u201d node, into which the tumor first drains, is found with a special blue dye or radioactive substance injected into the breast during surgery, and only those 1\u20133 nodes are removed.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"So_what_if_cancer_is_found_in_the_sentinel_node\"><\/span>So what if cancer is found in the sentinel node?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In the past, in this situation all lymph nodes in the armpit (ALND) were removed, which led to a high risk of lymphedema (arm swelling).<\/p>\n<p>We now know that (especially in those receiving breast-conserving surgery and radiotherapy) even with 1\u20132 positive sentinel nodes, clearing the entire armpit (ALND) may not always be necessary.<\/p>\n<p>In mastectomy patients, (as in studies such as AMAROS), in the presence of 1\u20132 positive nodes, no oncologic difference has been found between clearing the armpit (ALND) and giving only radiotherapy (radiation therapy) to that area. Since radiotherapy carries a lower risk of lymphedema, this is an important alternative.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"When_is_radiotherapy_radiation_therapy_needed_after_mastectomy_surgery\"><\/span>When is radiotherapy (radiation therapy) needed after mastectomy surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Postmastectomy Radiation Therapy (PMRT), i.e., radiation therapy after mastectomy, is performed to reduce the risk of the cancer recurring in the chest wall or regional lymph nodes. The PMRT decision is made according to the final stage in the pathology report.<\/p>\n<p>Clear indications and situations to consider are as follows:<\/p>\n<ul>\n<li>Four or more positive axillary lymph nodes (ge4): This is the most definite and strongest indication for PMRT. It is strongly recommended.<\/li>\n<li>One to three positive lymph nodes (1\u20133): This is considered a \u201cgray zone.\u201d PMRT \u201cshould be strongly considered.\u201d The decision is individualized according to the patient\u2019s other risk factors (tumor size, lymphovascular invasion, degree of aggressiveness).<\/li>\n<li>T3N0 (Tumor &gt; 5 cm, Node Negative): Even if the armpit is clear (N0), if the primary tumor is very large (greater than 5 cm), especially if there are additional risk factors, PMRT may be considered.<\/li>\n<\/ul>\n<p>Status after preoperative chemotherapy: In these patients, the PMRT decision is usually made according to the clinical stage before treatment.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"When_is_immediate_breast_reconstruction_performed_at_the_same_time_as_mastectomy\"><\/span>When is immediate breast reconstruction performed at the same time as mastectomy?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>There are two main timings:<\/p>\n<ul>\n<li>Immediate \/ Simultaneous Reconstruction:<\/li>\n<\/ul>\n<p>This is generally the preferred method. As soon as the mastectomy surgery ends, while the patient is still under anesthesia, the plastic surgeon takes over in the same session and starts the reconstruction procedure (with an implant or the patient\u2019s own tissue). Its advantages are reducing the total number of surgeries required, providing a better aesthetic appearance, and being psychologically much more positive because the patient does not go through a \u201cbreastless\u201d period.<\/p>\n<ul>\n<li>Delayed Reconstruction:<\/li>\n<\/ul>\n<p>Mastectomy surgery is performed and the chest wall is closed. The patient\u2019s oncologic treatments (chemotherapy or radiotherapy) are completed. After all these treatments are finished, 6 to 12 months later, when the patient has fully recovered, breast reconstruction is performed with a separate surgery. This may be a safer option in cases where the risk of complications is high in immediate reconstruction (smokers, those with uncontrolled diabetes) or where these complications have the potential to disrupt cancer treatment (chemotherapy\/radiotherapy).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_is_the_difference_between_%E2%80%9Cunder_the_muscle%E2%80%9D_and_%E2%80%9Cover_the_muscle%E2%80%9D_prepectoral_techniques_in_implant_placement_with_mastectomy\"><\/span>What is the difference between \u201cunder the muscle\u201d and \u201cover the muscle\u201d (prepectoral) techniques in implant placement with mastectomy?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>When reconstruction is performed with an implant, there are two main planes for the \u201cpocket\u201d in which the implant will be placed:<\/p>\n<ul>\n<li>Subpectoral (\u201cUnder the Muscle\u201d): This is the traditional method. The implant is placed under the large \u2018pectoral\u2019 muscle on the chest wall. This can cause more pain after surgery and can cause the breast to move when the patient flexes the muscle (\u201canimation deformity\u201d).<\/li>\n<li>Prepectoral (\u201cOver the Muscle\u201d): This is the modern approach. The implant is placed directly under the skin, i.e., on top of the pectoral muscle. Since the muscle is not cut, postoperative pain is significantly less, arm functions return faster, and animation deformity does not occur.<\/li>\n<\/ul>\n<p>The Most Critical Difference: Radiotherapy and Capsular Contracture<\/p>\n<p>Capsular contracture is the thickening and hardening over time of the capsule the body forms around the implant, distorting the shape of the breast. This is the most important long-term aesthetic problem, and radiotherapy (PMRT) greatly increases this risk.<\/p>\n<p>Studies have shown that in patients receiving PMRT, capsular contracture rates in the over-the-muscle (PBR) group are significantly lower than in the under-the-muscle (SBR) group.<\/p>\n<p>These findings strongly support that in high-risk patients expected to receive PMRT, prepectoral (over-the-muscle) reconstruction should be considered as a priority.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1655195298 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_467450755 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_434588229\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-133555673\">\r\n\r\n\n\t<div id=\"col-410817955\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(170, 38, 101);border-radius:20px;border-width:3px 3px 3px 3px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-2014802737\">\r\n\r\n\n\t<div id=\"col-578673961\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-638014477\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Contact Us. <\/strong><\/div>\r\n\t\t\n<style>\n#text-638014477 {\n  font-size: 1.55rem;\n  color: #aa2665;\n}\n#text-638014477 > * {\n  color: #aa2665;\n}\n@media (min-width:550px) {\n  #text-638014477 {\n    font-size: 2.5rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\t<div id=\"gap-587230662\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-587230662 {\n  padding-top: 20px;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n<div>You can request an online appointment by filling out the form. Our team will contact you as soon as possible.<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-601525947\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f683-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"683\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/2119#wpcf7-f683-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"683\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f683-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"randevu-form\">\n\t<div class=\"form-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-340\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Full Name\" value=\"\" type=\"text\" name=\"text-340\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-10\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone\" value=\"\" type=\"tel\" name=\"tel-10\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-full\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-342\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Briefly write the subject\" value=\"\" type=\"text\" name=\"text-342\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><button type=\"submit\">Book Appointment<\/button>\n\t<\/p>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"189\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-601525947 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-410817955 > .col-inner {\n  padding: 20px 30px 0px 30px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 20px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_434588229 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_2118902999\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1970680924\">\n\n\t<div id=\"col-1273851251\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"What_does_the_Enhanced_Recovery_After_Surgery_ERAS_protocol_mean_for_mastectomy\"><\/span>What does the Enhanced Recovery After Surgery (ERAS) protocol mean for mastectomy?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>ERAS (Enhanced Recovery After Surgery) is an evidence-based care protocol that means \u201cFaster Recovery After Surgery.\u201d<\/p>\n<p>In mastectomy surgery, the main focus of ERAS protocols is to minimize the use of opioid (morphine and derivatives) painkillers. Opioids can slow recovery by causing nausea and constipation.<\/p>\n<p>Instead, \u201cMultimodal Analgesia\u201d is used: Non-opioid painkillers (such as paracetamol and NSAIDs) that act through different mechanisms and regional nerve blocks are used together. This enables patients to experience less pain, less nausea, to get out of bed sooner, and to be safely discharged in a shorter time.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_are_drains_placed_after_mastectomy_used_for_and_when_are_they_removed\"><\/span>What are drains placed after mastectomy used for, and when are they removed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Mastectomy creates a large \u201cdead space\u201d by lifting the breast off the chest wall. Drains are thin tubes that prevent fluid accumulation (seroma) in this space and help the skin adhere to the underlying chest wall.<\/p>\n<p>Drains usually remain for 1 to 3 weeks. The decision on when to remove them is made according to the volume of fluid output. The standard criterion is for the drainage volume to drop below 20 to 30 milliliters (cc) in 24 hours, and for this low volume to persist for two days.<\/p>\n<p>If drains are removed before they fall below this threshold, fluid rapidly accumulates inside and leads to large, painful seromas. Keeping them longer than three weeks is also undesirable because it increases the risk of infection.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_is_done_if_seroma_fluid_collection_or_hematoma_blood_collection_occurs_after_mastectomy_surgery\"><\/span>What is done if seroma (fluid collection) or hematoma (blood collection) occurs after mastectomy surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li>Seroma:<\/li>\n<\/ul>\n<p>This is fluid accumulation in the surgical cavity after drains are removed and is the most common complication after mastectomy.<\/p>\n<p>Management: If the seroma is small and does not cause pain, discomfort, or restrict arm movement, no intervention is performed. These small seromas are absorbed by the body over time. Only large, painful, or tension-causing seromas are drained with a needle. Especially in patients with an implant (prosthesis), unnecessary aspiration is avoided due to the risk of infection.<\/p>\n<ul>\n<li>Hematoma:<\/li>\n<\/ul>\n<p>This is the accumulation of blood in the surgical area. It causes swelling, pain, and bruising. Small hematomas are usually absorbed on their own. Surgical intervention may be required for large hematomas or situations suggesting active bleeding.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_is_the_risk_of_surgical_site_infection_SSI_after_mastectomy_surgery_and_why_is_long_follow-up_required\"><\/span>What is the risk of surgical site infection (SSI) after mastectomy surgery, and why is long follow-up required?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Surgical site infection (SSI) is one of the most serious complications, especially in patients who undergo reconstruction (breast reconstruction).<\/p>\n<p>Infection risk varies by the type of surgery:<\/p>\n<ul>\n<li>Infection rate after mastectomy alone: ~5%<\/li>\n<li>Infection rate after mastectomy with an implant: ~10%<\/li>\n<li>Infection rate after mastectomy with a flap (own tissue): ~11%<\/li>\n<\/ul>\n<p>These data clearly show that immediate reconstruction (implant or flap) nearly doubles the infection rate.<\/p>\n<p>The Most Striking Finding: The Need for Extended Follow-up<\/p>\n<p>Data show that about half (more than 50%) of these infection cases occur after the standard 30-day postoperative follow-up period ends, within the period up to 180 days (i.e., from month 1 to month 6).<\/p>\n<p>Especially patients who undergo immediate reconstruction must be followed for a much longer period, and patients must be clearly educated about late signs of infection (redness, swelling, fever, discharge).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"How_does_the_recovery_process_progress_after_mastectomy_surgery\"><\/span>How does the recovery process progress after mastectomy surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Although recovery after mastectomy varies from person to person, it generally takes 2\u20134 weeks. Pain, swelling, and fatigue are normal in the first days. Wound care and the exercises recommended by the doctor speed up recovery.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Which_complications_may_develop_after_mastectomy_surgery\"><\/span>Which complications may develop after mastectomy surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Infection, bleeding, seroma (fluid accumulation), lymphedema, and wound-healing problems may occur. More rarely, limitation of shoulder movement and nerve damage may develop.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"For_whom_is_mastectomy_surgery_recommended\"><\/span>For whom is mastectomy surgery recommended?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Mastectomy may be recommended for people diagnosed with breast cancer, those who do not respond to treatment, or those with genetic risks such as BRCA. In some patients, it may also be performed for preventive purposes.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Is_an_implant_or_reconstruction_possible_after_mastectomy_surgery\"><\/span>Is an implant or reconstruction possible after mastectomy surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Yes. The use of a breast implant or surgical reconstruction is possible. These procedures can be performed in the same session as the surgery or at a later time.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"How_is_quality_of_life_affected_after_mastectomy_surgery\"><\/span>How is quality of life affected after mastectomy surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Physical changes and psychological effects may occur. However, with appropriate rehabilitation, aesthetic solutions, and psychological support, quality of life can largely be preserved.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"What_should_be_considered_after_mastectomy_surgery\"><\/span>What should be considered after mastectomy surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>It is important that wound care is performed correctly, the arm is not overstrained, and signs of infection are monitored. Doctor follow-ups and exercises should not be neglected.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"How_can_the_risk_of_lymphedema_be_reduced_after_mastectomy_surgery\"><\/span>How can the risk of lymphedema be reduced after mastectomy surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Avoiding straining the arm, preventing skin injuries, exercising regularly, and being under specialist supervision reduce the risk of lymphedema. Early-detected lymphedema is easier to treat.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Does_the_risk_of_cancer_recurrence_continue_after_mastectomy_surgery\"><\/span>Does the risk of cancer recurrence continue after mastectomy surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Even though breast tissue is largely removed, there is still a very low risk of recurrence. Regular follow-up and imaging minimize this risk.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"When_should_exercises_be_started_after_mastectomy_surgery\"><\/span>When should exercises be started after mastectomy surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Light exercises are usually started within the first week after surgery. The range of motion is increased gradually. The doctor\u2019s guidance is essential.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Is_sexual_life_affected_after_mastectomy_surgery\"><\/span>Is sexual life affected after mastectomy surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Emotional and physical changes may affect sexual life. With partner support, psychological counseling, and reconstruction options, a healthy sexual life can be maintained.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"How_Long_Does_Mastectomy_Surgery_Take\"><\/span><b>How Long Does Mastectomy Surgery Take?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Mastectomy surgery usually takes between 1 and 3 hours. The duration may vary depending on the type of mastectomy performed (for example, total, skin-sparing, bilateral) and additional procedures (such as lymph node removal, reconstruction). Together with anesthesia preparations and postoperative observation time, the length of hospital stay may be extended. <\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"Which_Doctor_or_Department_Should_One_Go_to_for_Mastectomy\"><\/span><b>Which Doctor or Department Should One Go to for Mastectomy?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The specialist to consult for mastectomy is a <\/span><b>general surgeon<\/b><span style=\"font-weight: 400;\">. <\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"How_many_days_does_it_take_to_recover_from_mastectomy_surgery\"><\/span>How many days does it take to recover from mastectomy surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>After mastectomy, the hospital stay is usually 1\u20133 days. Most patients can return to daily living activities within 2\u20134 weeks. However, the full recovery process may take several months depending on the surgical technique used, whether breast reconstruction was performed, and additional treatments such as chemotherapy\/radiotherapy.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Is_mastectomy_surgery_risky\"><\/span>Is mastectomy surgery risky?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Mastectomy is a major surgical procedure, but it is safely performed by experienced surgical teams. Possible risks include bleeding, infection, wound-healing problems, and lymphedema. The level of risk may vary depending on the patient\u2019s overall health condition and any additional procedures performed.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Can_blood_be_drawn_from_the_arm_on_the_side_of_the_mastectomy\"><\/span>Can blood be drawn from the arm on the side of the mastectomy?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>If axillary lymph nodes were removed during mastectomy, drawing blood from the arm on the same side is generally not recommended. This may increase the risk of lymphedema. Unless absolutely necessary, blood pressure measurement and injections should also not be performed on this arm.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1273851251 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_2118902999 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":2104,"parent":2111,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-2119","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages\/2119","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/comments?post=2119"}],"version-history":[{"count":2,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages\/2119\/revisions"}],"predecessor-version":[{"id":2148,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages\/2119\/revisions\/2148"}],"up":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages\/2111"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/media\/2104"}],"wp:attachment":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/media?parent=2119"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}