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

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

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 the remaining healthy breast and usually 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 a reconstructed breast) is an option. However, 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, a prosthesis within the bra is an option, especially with a one-sided 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 breast cancer surgery.

Axillary Dissection - removal of all armpit lymph nodes when proven to contain cancer cells 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 a 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 before the diagnosis of cancer; opposite breast does not need any surgery as the pre-cancer match is maintained.

Fat Modelling - Using fat cells from the abdominal wall or thigh to inject into defect left behind after non-OncoPlastic breast-conserving surgery or distortion appearing following radiotherapy. Most women unhappy with the lumpectomy defect have this option at any time, 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 the 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 the 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™, TiLoop^TM 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 rebuild 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 the abdominal wall or thighs to graft to rebuild small breasts following mastectomy. 

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