Total Mastectomy: Complete Removal of Breast Tissue

# What Is a Total Mastectomy?

In a total mastectomy, Dr. Schwartz removes the entire breast tissue from the chest wall, including the skin, nipple-areola complex, and underlying glandular tissue. The pectoralis major and minor muscles are preserved, allowing for reconstruction options if desired.

This differs from a modified radical mastectomy, which also removes axillary lymph nodes. Total mastectomy may be combined with sentinel lymph node biopsy or axillary dissection depending on your specific situation.

# Who Is a Candidate?

Total mastectomy is appropriate for women with early-stage cancers where lumpectomy is not preferred or feasible, multiple tumors in different areas of the breast, or high-risk individuals pursuing preventive surgery. Your surgical team will assess candidacy based on cancer stage, location, and your preferences.

# What to Expect

The procedure typically takes 1-2 hours under general anesthesia. Most patients go home the same day or after an overnight stay. Drains may be placed to prevent fluid accumulation and are typically removed within 1-2 weeks. Recovery involves 2-3 weeks before returning to normal activities.

You'll have a horizontal scar across the chest that fades over time. Reconstruction can be performed immediately (at the time of mastectomy) or delayed.

# Reconstruction Options

Many women choose reconstruction to restore breast shape and appearance. Options include implant-based reconstruction, autologous flap procedures (using your own tissue), or combination approaches. Dr. Schwartz discusses all options during your consultation.

# Related Procedures