Breast Cancer Surgery

At Sydney Surgical Associates, we offer expert, compassionate care for patients diagnosed with breast cancer.

Surgery remains one of the primary treatment options for breast cancer, often in combination with radiotherapy, chemotherapy, hormone therapy or targeted therapies.

In Australia, approximately 20,000 women and 200 men are diagnosed with breast cancer each year. It is the most commonly diagnosed cancer in Australian women, and while a diagnosis can be distressing, advances in early detection and surgical techniques have significantly improved outcomes. Our experienced general surgeons work closely with oncologists, radiologists, and plastic surgeons to develop a tailored treatment plan for each patient, balancing cancer control with aesthetic and emotional outcomes.

Understanding Breast Cancer

Breast cancer occurs when abnormal cells in the breast grow uncontrollably, forming a tumour that may be invasive or non-invasive.

  • Invasive Ductal Carcinoma (IDC): The most common type, starting in the milk ducts and invading surrounding tissue.
  • Invasive Lobular Carcinoma (ILC): Originates in the milk-producing lobules.
  • Ductal Carcinoma In Situ (DCIS): A non-invasive form where abnormal cells are confined to the milk ducts.
  • Triple-Negative Breast Cancer: A more aggressive type that does not respond to hormone therapy.
  • HER2-Positive Breast Cancer: Driven by an overexpression of the HER2 protein, often treated with targeted therapy.

These include age, family history, genetic mutations (e.g. BRCA1 or BRCA2), early menstruation or late menopause, obesity, alcohol use, and hormone replacement therapy.

Symptoms may include a new lump in the breast or underarm, changes in breast shape or size, nipple discharge, or skin dimpling.

Treatment options depend on cancer type, size, location, and patient preference, and may include surgery, chemotherapy, radiotherapy, hormone therapy, and immunotherapy.

Surgical Options for Breast Cancer

Mastectomy involves removal of the entire breast and may be recommended when the tumour is large, there are multiple areas of cancer in the breast, or when breast-conserving surgery is not suitable.

There are several types of mastectomy, including:

  • Simple (Total) Mastectomy
    This involves the removal of the entire breast, including the nipple and areola, but not the lymph nodes or chest wall muscles. It is often used when the cancer is confined to the breast.
  • Subcutaneous (Nipple-Sparing) Mastectomy
    In this approach, the breast tissue is removed but the skin, nipple, and areola are preserved, making it ideal for selected patients planning immediate reconstruction. It offers better cosmetic outcomes and psychological benefits.


Mastectomy may also be offered as a risk-reduction strategy in patients with strong genetic predisposition, such as BRCA mutation carriers.

Also known as lumpectomy or wide local excision, breast conserving surgery involves removing the cancerous tissue and a margin of surrounding healthy tissue while preserving most of the breast. It is typically followed by radiotherapy to reduce the risk of recurrence.

Oncoplastic Reconstructive Surgery
This is a specialised approach that combines cancer removal with plastic surgery techniques to reshape the remaining breast tissue.

Oncoplastic surgery is ideal for women with moderate-to-large breasts or tumours in cosmetically sensitive areas. It offers superior cosmetic results without compromising cancer control.

Studies show that breast conserving surgery (oncoplastic approach) followed by radiotherapy is as effective as mastectomy in early-stage breast cancer, with the added benefit of maintaining the natural appearance of the breast.

Breast reconstruction can restore the appearance of the breast following mastectomy. It may be performed immediately at the time of mastectomy or delayed until after cancer treatment is complete.

There are two main types of reconstruction:

  • Implant-Based Reconstruction
    This involves the placement of a silicone or saline implant under the chest muscle or breast skin. It may be done in one or two stages, sometimes using a temporary tissue expander. Implant-based reconstruction offers a shorter recovery time and avoids the need for donor tissue.
  • Autologous (Free Flap) Reconstruction
    This technique uses tissue from another part of the body (commonly the abdomen, buttocks, or thighs) to create a new breast mound. Types of free flap procedures include DIEP (deep inferior epigastric perforator) and TRAM (transverse rectus abdominis muscle) flaps. This method offers a more natural feel and appearance but involves a longer operation and recovery period.

 

Reconstruction is a highly personal decision. Our team supports patients in understanding their options and choosing a method aligned with their preferences, medical needs, and lifestyle.

Why Choose Sydney Surgical Associates?

At Sydney Surgical Associates, we offer advanced diagnostic techniques and a range of surgical options for the treatment and removal of skin conditions. Our experienced surgeons are committed to providing high-quality care, ensuring the best possible outcomes with minimal discomfort and recovery time.

Book a Consultation

If you have been diagnosed with breast cancer or are seeking a surgical opinion, contact Sydney Surgical Associates for expert, compassionate care. We’re here to support you every step of the way.