If I Notice Skin Lumps, Should I Worry Even If My Mammogram Is Clear?

Partial vs Full Breast Reconstruction: What’s the Difference, and Which One Is Right for You?

If you’re preparing for breast cancer surgery, you may be offered the option of breast reconstruction. For many women, choosing between partial and full breast reconstruction can feel overwhelming. Both approaches aim to restore the breast’s appearance, but the right choice depends on your treatment, your body, and what matters most to you.

In this article, we’ll explain the differences between partial and full reconstruction in a clear, compassionate way, so you can make a more informed decision with your surgical team.

What Is Partial Breast Reconstruction?

Partial breast reconstruction, sometimes called oncoplastic surgery, is typically offered when only part of the breast needs to be removed, for example, after a lumpectomy (removal of the tumour with a margin of tissue). Instead of leaving a hollow or misshapen area, the remaining breast tissue is reshaped to maintain a natural look.

In some cases, tissue from another part of the body, such as the back or side, may be used to fill in the gap, especially if a larger portion of the breast is removed.

What to expect:

• Shorter surgery and recovery time compared to full reconstruction
• The breast remains intact, with adjustments made to shape and volume
• The other breast may be reshaped for better symmetry
• Often done at the same time as tumour removal

What Is Full Breast Reconstruction?

Full breast reconstruction is generally offered after a mastectomy, where the entire breast is removed. This type of reconstruction rebuilds the shape of the breast using either:

• Implants (filled with saline or silicone), or
• Your own tissue (commonly from the tummy, back, or thigh)

Sometimes, reconstruction is done right after the mastectomy (immediate reconstruction), while in other cases, it’s delayed until after treatments like chemotherapy or radiotherapy are completed.

What to expect:

• A longer operation and recovery period compared to partial reconstruction
• The creation of a new breast mound, with or without nipple reconstruction
• The option of further procedures later to refine shape or balance

How Do You Decide Which Is Right for You?

There’s no one-size-fits-all answer. The decision often depends on:

1. Size and Location of the Tumour

If only a small portion of the breast is affected, partial reconstruction may be suitable. If the tumour is large or involves multiple areas, a mastectomy with full reconstruction may be advised.

2. Breast Size and Shape

Women with larger breasts may have more tissue available for reshaping after a lumpectomy. Those with smaller breasts may benefit more from full reconstruction if a large portion of tissue needs to be removed.

3. Other Treatments (Like Radiotherapy)

Radiotherapy can affect skin and tissue healing. In some cases, it may be more practical to delay full reconstruction or to opt for a method that works well alongside radiation treatment.

4. Personal Preferences and Lifestyle

Some women prefer to keep as much of their natural breast as possible and are more comfortable with a partial approach. Others may want to minimise the chance of future surgeries and opt for full reconstruction in one go.

Your comfort, recovery goals, and long-term expectations all matter.

You’re Not Alone in the Decision

Choosing between partial and full reconstruction is a deeply personal journey, and it’s okay to take your time. Discuss your options with your surgical team, ask questions, and think about what feels right for you, not just physically, but emotionally too.

Book a Consultation at The Radhika Breast & General Surgery Clinic

If you’re facing breast surgery and want to explore your reconstruction options, Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic are here to support you. We’ll help you understand what each approach involves and guide you towards a decision that aligns with your health needs and personal comfort.

Book a consultation today.

Mastectomy in Singapore: Understanding the Process, Options, and Recovery

Hearing the word mastectomy can stir up a lot of emotions like worry and uncertainty. If you or a loved one are facing this decision, you’re not alone. Many women in Singapore undergo mastectomy as part of managing breast cancer or reducing risk. It’s a deeply personal journey, and understanding the process can help you feel more prepared.

What Is a Mastectomy?

A mastectomy is surgery to remove breast tissue. It’s often recommended for those with breast cancer or for people at high risk of developing it. There isn’t just one type of mastectomy; options exist depending on your diagnosis, stage, and personal preferences.

Common types include:

• Total (simple) mastectomy – removal of the entire breast.
• Skin-sparing mastectomy – preserves as much of the breast skin as possible, often for reconstruction.
• Nipple-sparing mastectomy – keeps the nipple and surrounding skin intact, suitable in certain cases.
• Modified radical mastectomy – removes the breast and some lymph nodes.

Your surgeon will help guide the choice based on what offers the best outcome for your situation.

What Happens During the Process?

Planning for a mastectomy usually starts with imaging tests, blood work, and detailed 

discussions about your medical history. Your care team will talk you through the surgery, the risks, and reconstruction options if you’re considering them.

The procedure takes place under general anaesthesia. Depending on the type of mastectomy, it may take a few hours. Some patients go home the next day, while others stay a bit longer for monitoring.

Recovery After a Mastectomy

Recovery varies, but here’s what many experience:

• Some soreness and tiredness for the first few weeks
• A drain in place for a short time to remove fluid from the area
• Gradual return to daily activities over several weeks
• Guidance on gentle exercises to regain arm and shoulder movement

Emotional recovery is just as important. It’s natural to have mixed feelings as you heal. Support groups and counselling can be valuable during this time.

The Takeaway

A mastectomy is more than just a medical procedure; it’s a big step in your health journey. The process, options, and recovery will look different for everyone, but knowing what to expect can help you feel more in control.

Are you thinking about a mastectomy? Book a consultation with Radhika Breast & General Surgery to discuss your options and next steps.

Is a Painful Lump in Your Breast Always Cancer? Here’s What You Should Know

Finding a lump in your breast can be a worrying experience, especially if it’s tender or causing discomfort. But before you jump to conclusions, it’s important to know that not all lumps are cancerous. In fact, there are many harmless reasons why you might feel a lump in your breast.

Here’s what you should know about the possible causes of painful lumps and when it’s time to see your doctor.

Most Breast Lumps Are Benign

The good news is that many breast lumps are benign, which means they’re not cancerous. Some common causes include:

Cysts

• These are fluid-filled sacs that can develop in breast tissue.
• Cysts often feel smooth and may be tender, especially before your period.
• They’re common in women in their 30s and 40s, and they usually don’t need treatment unless they’re causing discomfort.
  

Fibroadenomas

• These are solid lumps made up of fibrous and glandular tissue.
• They’re typically painless but can sometimes feel tender if they’re near nerves or become larger.
• Fibroadenomas are common in younger women and don’t increase your risk of breast cancer.
  

Breast Infections (Mastitis)

• Infections can cause red, swollen lumps that are warm and painful to the touch.
• This is more common in women who are breastfeeding.
• Antibiotics can help treat the infection, and lumps usually improve once the infection clears.
  

Hormonal Changes

• Hormones during your menstrual cycle can make breast tissue feel lumpier or more sensitive.
• This kind of lumpiness usually improves after your period.

When Should You See a Doctor?

While most lumps are harmless, it’s important to be proactive about your breast health. See your doctor if:

• A lump doesn’t go away after your period or sticks around for more than a few weeks.
• The lump feels hard, irregular, or fixed in place.
• You notice skin changes like dimpling, redness, or puckering.
• There’s nipple discharge that isn’t breast milk, especially if it’s bloody.
• You have unexplained weight loss or persistent fatigue.

Your doctor may recommend imaging tests like an ultrasound or mammogram to learn more about the lump. In some cases, a biopsy might be suggested to confirm whether the lump is benign or if it needs further attention.

Staying Calm and Informed

It’s completely natural to feel anxious when you find a breast lump. But remember: pain doesn’t automatically mean cancer. Many cancerous lumps are actually painless at first, while painful lumps are often linked to infections, cysts, or other benign conditions.

Being familiar with what’s normal for your breasts, and noticing changes, can help you feel more confident about your health. Regular self-exams and routine check-ups are great tools to keep track of your breast health.

Book a Consultation at The Radhika Breast & General Surgery Clinic

If you’re worried about a breast lump or simply want reassurance, Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic are here to help. We’ll provide a thorough examination and discuss any concerns you have, so you feel supported and informed, every step of the way.

Book a consultation today to get clarity and peace of mind. Your health matters, and we’re here to guide you with answers and relief.

A Woman’s Guide to Breast Surgery in Singapore

Navigating health decisions is never a walk in the park, and when it comes to something as personal as your breasts, it can feel even more daunting. Whether you’re considering surgery for medical reasons or personal choices, breast surgery is more than just a physical journey; it’s also an emotional and practical one. This guide is designed to help you feel informed and supported at every turn, from understanding the procedures to knowing when to reach out for help.

What Is Breast Surgery?

In Singapore, breast surgery encompasses a variety of procedures, each serving a unique purpose. Some are performed for health reasons, like removing a lump or alleviating pain, while others focus on reconstruction or aesthetics. Here are some common types:

• Lumpectomy: This involves removing a breast lump, typically when cancer is detected early.
• Mastectomy: This procedure entails the removal of breast tissue, often recommended for those with breast cancer or at high risk.
• Breast reconstruction: This aims to restore the breast’s shape following a mastectomy.
• Breast reduction: This reduces size for comfort and lifestyle improvements.
• Breast augmentation: This increases size or alters shape for personal or cosmetic reasons.

Each type of surgery comes with its own recovery timeline, risks, and benefits. The important thing is to find what suits your situation, not just from a medical standpoint, but also emotionally and logistically.

When Should You Consider Breast Surgery?

Here are some reasons why women in Singapore might look into breast surgery:

• You’ve discovered a lump or noticed changes in your breast shape or skin.
• You’ve been diagnosed with breast cancer or a benign breast condition.
• You’re experiencing ongoing pain or discomfort due to breast size.
• You want to reconstruct or reshape your breast(s) after previous surgery or based on personal preference.

Whatever your reason may be, the first step is to have a conversation, not to make a commitment. A thorough consultation can help you explore your options without any pressure.

What Should You Ask Before Deciding?

Here’s a handy checklist to consider when looking into breast surgery:

• What surgical options are available for my specific condition or goals?
• What can I expect during the recovery process?
• Are there any non-surgical alternatives I should think about first?
• What type of follow-up care will I require?
• How might surgery impact breastfeeding, sensation, or future screenings?

These questions are essential to ensure that your decision aligns with both your medical needs and personal values.

Why Local Context Matters

Deciding on breast surgery in Singapore is a deeply personal choice, influenced by access to care, support systems, and cultural comfort levels. Collaborating with a female surgeon who understands both the clinical and emotional sides of the process can be incredibly reassuring. At Radhika Breast & General Surgery, you’ll discover a safe and supportive environment to explore your options, no assumptions, no pressure, just personalised care.

Final Thoughts

Breast surgery isn’t a one-size-fits-all journey. It’s a personal experience that deserves time, understanding, and guidance. Whether you’re just starting or seeking clarity, remember that you’re not alone.

Interested in exploring your options or asking questions in a confidential setting? Schedule a consultation with Radhika Breast & General Surgery. We’re here to help you feel informed, empowered, and supported.

Mammogram Screening: What Age to Start and Why Timing Matters More Than You Think

When it comes to breast cancer, early detection can make all the difference. That’s where mammogram screenings come in, a simple yet powerful tool that helps spot changes in breast tissue before symptoms even appear. But one question often comes up: When should I start?

The answer isn’t one-size-fits-all. While there are general guidelines, your personal risk factors, like family history or genetic predisposition, can influence the timing. In this article, we break down when to start screening and why paying attention to timing could quite literally be life-saving.

When Do Most Women Start Mammogram Screenings?

For women at average risk, many healthcare organisations recommend starting routine mammograms at age 40. From there, screenings are usually done every 1 to 2 years, depending on your health, preferences, and your doctor’s advice.

By age 50, mammogram screening is more widely recommended and sometimes becomes part of a national health screening programme, depending on where you live.

Why start at 40? Because the risk of breast cancer starts to rise at this age, and mammograms have been shown to catch cancers earlier in women in their 40s, when they’re often smaller and easier to treat.

How Family History or Genetic Risk Changes the Timeline

If breast cancer runs in your family, you may need to start screening before 40. You’re considered higher risk if:

• You have a mother, sister, or daughter who was diagnosed with breast cancer (especially before menopause).
  
• You carry a BRCA1 or BRCA2 gene mutation, which significantly increases the risk of both breast and ovarian cancer.
  
• There’s a pattern of breast or ovarian cancer in multiple family members across generations.
  

In these cases, your doctor might suggest starting mammograms in your 30s, or even earlier, along with other imaging tests such as breast ultrasound or MRI. They may also recommend genetic counselling to assess your risk in more detail.

Why Early Detection Saves Lives

Breast cancer is often more treatable when caught early. Mammograms can detect tumours before they’re big enough to feel and before symptoms develop, giving women a chance to start treatment earlier, with more options and a higher chance of success.

Early detection through regular screening has been shown to:

• Lower the risk of dying from breast cancer
• Reduce the need for more aggressive treatment (like mastectomy or chemotherapy)
• Help preserve breast tissue and overall quality of life

It’s worth noting that not all breast cancers are fast-growing. Some develop slowly over time, making consistent screening important for picking up subtle changes.

Don’t Rely on Symptoms Alone

Many women assume they don’t need a mammogram because they feel fine or have no symptoms, but by the time a lump can be felt, the cancer may already be more developed.

Screening is designed to catch things early, before you notice a difference. Even if you have no family history and feel healthy, regular mammograms are still an important part of staying proactive about your health.

Let’s Talk About Your Breast Screening Plan

Every woman’s situation is different. That’s why it’s important to have a personalised conversation with a healthcare professional who understands your medical background and risk factors. From deciding the right age to start, to choosing how often to screen, your plan should be tailored to you, not based on general rules alone.

Book Your Mammogram at The Radhika Breast & General Surgery Clinic

If you’re approaching 40, or wondering if you should be screened sooner, Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic are here to guide you.

We’ll help you understand your risk, discuss when to start screening, and ensure you feel informed every step of the way. Whether it’s your first mammogram or time for a follow-up, we’re here to support your breast health journey.

Book a consultation or screening appointment today, because when it comes to breast cancer, timing truly matters.

Beyond Breast Cancer: 5 Other Things a Mammogram Can Reveal About Your Health

When we think about mammograms, breast cancer screening usually comes to mind, and for good reason. Mammograms are a key tool in catching cancer early. But did you know that these scans can sometimes reveal other health conditions too? A mammogram does more than just check for cancer; it can offer valuable insights into your overall breast health, and even hint at other concerns that may need attention.

Here are five surprising things a mammogram might uncover.

1. Benign Tumours That Are Not Cancerous

Not every lump or bump picked up on a mammogram is cancer. Sometimes, scans reveal benign tumours like fibroadenomas. These are non-cancerous growths made up of glandular and connective tissue.

Fibroadenomas are quite common, especially in younger women, and they usually feel firm, smooth, and move easily under the skin. They often do not require treatment unless they are large, uncomfortable, or changing over time. Your doctor may suggest monitoring them through regular check-ups rather than removing them straightaway.

2. Fluid-Filled Cysts

Another common finding is breast cysts, fluid-filled sacs within the breast tissue. They can feel like soft or firm lumps and might become more noticeable during hormonal changes, like before a period.

Cysts are usually harmless and can be left alone if they are not causing discomfort. Sometimes, if a cyst is large or painful, it can be drained with a simple procedure. Mammograms, often paired with breast ultrasounds, can help distinguish between cysts and solid masses, offering reassurance when it’s needed most.

3. Signs of Heart Disease

It might sound surprising, but a mammogram can sometimes offer clues about your heart health. During the scan, calcium deposits can sometimes be seen in the arteries of the breast.

These calcium deposits, known as breast arterial calcifications, are not linked to breast cancer but may be a sign of arterial hardening, which can point to a higher risk of heart disease. While not a diagnostic tool for heart conditions, noticing these deposits can prompt your doctor to recommend further cardiovascular checks, especially if you have other risk factors like high blood pressure or diabetes.

4. Dense Breast Tissue

Mammograms also provide information about breast density. Women with dense breast tissue have less fat and more glandular or fibrous tissue, which can make it harder to spot abnormalities on a mammogram.

Having dense breasts is common and not a medical problem in itself, but it may slightly increase the risk of breast cancer. Knowing your breast density can help guide future screening strategies, such as supplementing mammograms with breast ultrasound or MRI for clearer imaging.

5. Calcifications That Need a Closer Look

Tiny specks of calcium, called microcalcifications, sometimes appear on a mammogram. Most microcalcifications are harmless and linked to benign changes like ageing or past injuries to the breast tissue. However, certain patterns of calcifications can signal early signs of breast cancer or pre-cancerous changes.

If something unusual is seen, your doctor may recommend further imaging or a biopsy to get a clearer understanding of what’s happening.

Book Your Mammogram at The Radhika Breast & General Surgery Clinic

A mammogram is about more than detecting breast cancer, it’s a window into your overall breast health and sometimes even your heart health. Whether it’s your first time or you’re due for a follow-up, staying on top of regular screenings is one of the most important things you can do for yourself.

Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic are here to guide you with care and clarity.

Book a consultation or mammogram appointment today.