Following are a brief summary of the Breast Operations that Mr. Agrawal performs.

Further treatment-related information can be browsed or downloaded from the excellent 'Breast Cancer Carewebsite

 

Routine Breast Surgery

 

Breast Conservation or Lumpectomy = Wide Local Excision (Palpable, Wire-guided) - excision of the cancerous lump with a rim of normal tissue to achieve cancer clearance. This preserves remaining healthy breast and normally is followed by radiotherapy to the whole breast to be as effective as mastectomy

 

Mastectomy (Simple, Skin Sparing, Nipple Sparing, Areola Sparing) - removal of the whole breast tissue when even with advanced OncoPlastic surgery (as detailed below), saving the breast is not possible. Usually, immediate breast reconstruction (at the same time as mastectomy so waking up with reconstructed breast) is an option though women can choose to stay flat permanently or temporarily (with an option for delayed reconstruction at a convenient time after completion of all Oncological treatment/s). Whilst flat, there is an option of having a prosthesis within bra especially with one-side mastectomy

 

Sentinel Node Biopsy - when at cancer diagnosis, armpit lymph nodes appear normal (clinically as well as on ultrasound), confirmatory laboratory testing of any spread beyond the boundaries of the breast via the commonest route is by removal of the first few armpit lymph nodes (just beyond the edge of the breast) using nuclear medicine chemical or a blue colour chemical. This is usually performed at the same time as the breast cancer surgery

 

Axillary Dissection - removal of all armpit lymph nodes when they are proven to contain cancer cells either during initial diagnosis or following Sentinel node biopsy

 

Benign (Non-Cancer) Operations = Lump excision (such as Fibroadenoma), nipple duct surgery (Microdochectomy, Total Duct Excisions) for nipple discharges or inverted nipple correction

 

Advanced Oncoplastic Breast-Conserving Surgery

 

Mammaplasty (Breast Reduction) - Therapeutic (Wise-pattern, Vertical Scar, Batwing, Melon Slice)- Using a variety of skin patterns to achieve clearance of larger cancers in medium to large breasts by combining with breast reduction (smaller); hence improving the aesthetics of the breast at the same time; opposite side breast could be reduced at the same time to achieve as close match as possible

 

Mastopexy (Breast Lift) -Therapeutic - Using a variety of skin patterns to achieve clearance of larger cancers in droopy medium to large breasts by combining with breast lift (skin tightening to correct breast droop); hence improving the aesthetics of the breast at the same time; opposite breast could be lifted at the same time to achieve as close match as possible  

 

Partial Breast Reconstruction with Perforator flaps -TDAP/LTAP/LiCAP/AiCAP - Using spare side chest wall tissue based on small blood vessels to fill in the defect following excision of larger breast cancers in smaller breasts to avoid mastectomy thus maintaining the exact shape and size of the breast as prior to diagnosis of cancer; opposite breast does not need any surgery as the pre-cancer match is maintained

 

Fat Modelling - Using fat cells from abdominal wall or thigh to inject into defect either left behind after non-OncoPlastic breast-conserving surgery or distortion appearing following radiotherapy. Any woman who is unhappy with the lumpectomy defect has this option anytime in their life at least 12 months after radiotherapy 

 

Symmetrising Surgery

 

Augmentation (implant) - Using a silicone implant (round or breast-shaped) to increase the size of the other breast to match reconstructed breast or breast augmentation (increase) both sides to achieve cosmesis

 

Reduction (Wise-pattern, Vertical Scar) - Using a variety of skin patterns to achieve breast reduction (smaller) surgery to match reconstructed breast or reduce both sides 

 

Breast Reconstructions

 

Expander-Implant reconstruction - Using a silicone implant either alone or combined with ADM (Acellular Dermal Matrix) or own muscle to reconstruct the breast after mastectomy including both sub-muscular and the very latest non-muscular (pre-muscular) with ADM mesh (Braxon™)

 

ADM meshes (Native™, Surgimend™, TiLoopTM or Strattice™) based implant reconstruction - Using an ADM, an animal-derived biological mesh to create a hammock to support an implant only breast reconstruction

 

LD flap (Immediate + Delayed) - Using the LD (Latissimus Dorsi, the largest back muscle) to reconstruct the breast following mastectomy combined with or without an implant 

 

TDAP only breast reconstruction - Using spare side chest wall fatty tissue based on small blood vessels to re-build small breasts following mastectomy 

 

Goldilocks Mastectomy Reconstruction - An innovative method of reconstructing a breast using redundant skin over the breast (goldilocksmastectomy.com)

 

Fat Grafting only breast reconstruction - Using fat cells from abdominal wall or thighs to graft to re-build small breasts following mastectomy 

 

Nipple Reconstruction - Using a variety of skin patterns to reconstruct nipple followed by tattoo to match with the other side or a colour of woman's choice (otherwise, a stick-on nipple prosthesis or even a 3D tattoo may be possible)

 

Private Contact

 

Secretary: Pippa

Phone: +44(0)7411 027 388

E-mail

cambridge.breast@gmail.com

 

Or use our contact form.

 

Spire Lea Cambridge Hospital,

30 New Road, Impington,

Cambridge, CB24 9EL

Amit Agrawal

 

Nuffield Cambridge Hospital,

4 Trumpington Road,

Cambridge, CB2 8AF

Amit Agrawal

 

BUPA

Amit Agrawal

 

NHS

 

Addenbrooke's Hospital

Box 97, Cambridge Breast Unit,

Cambridge, CB2 0QQ

Amit Agrawal

 

Secretary: Karrie

Phone: +44(0)1223 216 315

 

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