Do All Breast Lumps Need Surgery? A Breast Surgeon’s Guide to Benign vs. Concerning Lumps

The Most Common Myths About Breast Lumps

Breast lumps can stir up a lot of worry and confusion, but it’s crucial to separate fact from fiction to take charge of your health. Here at Radhika Breast & General Surgery, we frequently encounter myths that can leave women feeling either overly anxious or mistakenly reassured. So, let’s take a moment to clear up some of the most common misconceptions about breast lumps and talk about when it might be necessary to think about breast lump removal.

Myth 1: All breast lumps are cancerous

It’s completely natural to fear the worst when you find a lump, but the truth is that most breast lumps are benign. Common culprits include cysts, fibroadenomas, or fibrocystic changes, all of which are non-cancerous. While abnormal cell growth can raise concerns for doctors and often leads to further checks, it doesn’t automatically mean the lump is malignant. Getting a timely assessment helps identify what it is, rather than jumping to conclusions.

Myth 2: Small lumps don’t matter, only large ones are the concern

Size isn’t a reliable indicator of risk. A lump the size of a pea can be more concerning than a grapefruit-sized cyst. What really matters is the lump’s texture, how quickly it grows, whether it’s painful, and if it changes over time. Any new or changing lump should prompt a professional evaluation. Early detection is key.

Myth 3: If it doesn’t hurt, it’s harmless

Just because a lump doesn’t hurt doesn’t mean it’s harmless. Many benign lumps can cause discomfort, while early-stage cancers can be completely painless. So, don’t let the absence of pain give you a false sense of security. If you notice a lump or thickening, even if it’s not painful, it’s wise to seek an assessment for your peace of mind.

Myth 4: Breast lump removal isn’t needed unless it’s cancer

Not all lumps require removal, but removal can be warranted when a lump:

• Causes symptoms like persistent pain or discomfort
• Is growing, changing shape or becoming more solid
• Shows uncertain features on imaging tests
• Is causing emotional stress

At Radhika Breast & General Surgery, breast lump removal is done only when needed, via minimally invasive excision, ensuring gentle treatment and quicker recovery.

Myth 5: Self‑examination is unnecessary if you have mammograms

Mammograms offer an excellent overview but can miss very small or deep lumps, especially in younger women with denser breast tissue. Monthly self‑checks familiarise you with what’s normal, so changes, no matter how slight, are noticed early. Combined with imaging and professional exams, self‑checks form a robust early‑detection strategy.

Myth 6: You’re too young for breast lumps or breast cancer

Though breast cancer risk rises with age, it can occur in women in their 20s and 30s. Young women often develop benign conditions, but serious conditions are still possible. Never dismiss a lump due to age. If you feel something unfamiliar, especially if it persists, consult a specialist to rule out anything serious.

What Really Happens During Breast Lump Assessment and Removal

At Radhika Breast & General Surgery, our approach is clear and compassionate:

1. Clinical examination and imaging – Ultrasound or mammography is used to assess lump characteristics.
2. Biopsy (if needed) – A needle sample may be taken to determine if the lump is benign or malignant.
3. Personalised discussion – We review whether monitoring, minimally invasive removal, or further treatment is suitable.
4. Gentle removal technique – For lumps flagged for removal, we use small incisions and precise methods to ensure minimal scarring and fast recovery.

Take Charge of Your Health Today

Don’t let myths delay vital care. If you’ve discovered a breast lump, or even need reassurance that you’re doing all the right checks, Radhika Breast & General Surgery is here for you. We believe every woman deserves expert advice, gentle care and clear answers about breast lump removal.

Not sure about that lump? Book your consultation with us today and gain clarity, confidence and the support you deserve.

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.