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

How to Manage Lactational Disorders at Home

Breastfeeding is often described as natural, but that doesn’t mean it’s always easy. Many women face challenges along the way, particularly with blocked ducts or mastitis. These conditions can be painful and frustrating, but the good news is that there are simple steps you can take at home to manage them, and knowing when to seek medical help is equally important.

Key Pointers

• Blocked ducts can lead to mastitis if not managed early.
• Home care includes warmth, massage, frequent feeding, hydration, and rest.
• Painful lumps aren’t always infections, but persistent symptoms need review.
• Mastitis can cause flu-like symptoms, this is when medical help is needed.
• Seeking advice promptly can prevent complications like abscesses.

Blocked Ducts: Why They Happen

A blocked duct occurs when milk isn’t draining properly from a part of the breast. This can create a tender, firm lump that may feel sore.

Common causes include:

• Skipping or shortening feeds
• Poor latching or positioning of the baby
• Tight clothing or bras pressing against the breast
• Stress and fatigue affecting milk flow

Mastitis: When Infection Sets In

If a blocked duct isn’t relieved, it can sometimes lead to mastitis, a breast infection. Mastitis often causes:

• Redness and swelling in the breast
• Intense pain
• Flu-like symptoms such as fever, chills, and fatigue

It’s important to recognise mastitis early so treatment can start promptly.

Managing Symptoms at Home

Many cases of blocked ducts and early mastitis can improve with self-care measures. Here are some simple things you can do:

• Keep feeding or pumping frequently: Aim to empty the breast regularly, even if it’s uncomfortable at first. This helps clear the blockage.
• Try different feeding positions: Pointing your baby’s chin toward the blocked area can encourage better drainage.
• Apply a warm compress before feeds: Warmth helps milk flow more easily. A warm shower can also be soothing.
• Massage the lump gently: Stroke from behind the blockage toward the nipple while feeding or pumping.
• Stay hydrated and rest: Your body needs energy and fluids to keep milk supply steady and support recovery.
• Wear comfortable clothing: Avoid bras that dig into the breast.
  

When to Seek Medical Advice

While many blockages clear with home care, there are times when professional help is necessary. Contact your doctor if:

• You develop a fever or flu-like symptoms
• The breast pain or swelling worsens instead of improving
• There’s pus or blood in the milk
• You’ve tried home measures for 24–48 hours with no relief

Antibiotics may be prescribed for mastitis, and in some cases, further treatment is needed to prevent abscesses from forming.

Looking After Yourself Matters Too

It’s easy to focus only on the baby’s needs during breastfeeding, but your well-being is just as important. Getting enough rest, eating nourishing meals, and asking for support from family members can make recovery smoother and help prevent recurring blockages.

Need Guidance? We’re Here to Help

If you’re struggling with blocked ducts, mastitis, or other breastfeeding challenges, you don’t have to manage it alone. Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic can provide thorough evaluation, treatment if needed, and personalised advice to help you continue your breastfeeding journey with comfort and confidence.

Book a consultation today to get the support you need, for your health and your baby’s well-being.

Lumpectomy vs. Mastectomy: What Women Should Know

Key Pointers:

• Lumpectomy removes the tumour with margin; mastectomy removes the whole breast.
• Lumpectomy usually pairs with radiotherapy; mastectomy may reduce recurrence risk.
• Choice depends on tumour size/location, genetics, health, and personal preference.
• Reconstruction options exist for mastectomy; oncoplastic techniques aid cosmesis.
• Consult a lumpectomy surgeon to align cancer control with body goals.

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One of the most important and personal decisions you’ll make is choosing between a lumpectomy and a mastectomy. Both are effective surgical treatments, but they differ in scope, recovery, and emotional impact.

If you’re currently navigating your treatment options or supporting a loved one through it, understanding the key differences can help make the journey feel a little more manageable. Here’s what every woman should know before deciding.

What Is a Lumpectomy?

A lumpectomy, also known as breast-conserving surgery, involves removing only the tumour and a small margin of surrounding tissue. The goal is to eliminate the cancer while preserving as much of the breast as possible.

It’s often followed by radiation therapy to reduce the risk of recurrence, especially in early-stage cancers.

Ideal for:

• Small, localised tumours
• Early-stage breast cancer
• Women who prefer to keep their natural breast shape

What Is a Mastectomy?

A mastectomy involves removing the entire breast, and in some cases, surrounding lymph nodes or muscle tissue, depending on the spread of the cancer. For some women, reconstruction can be done at the same time or later.

There are different types of mastectomies, such as simple, skin-sparing, and nipple-sparing, each tailored to specific clinical needs and personal preferences.

Ideal for:

• Larger or multiple tumours
• High risk of recurrence
• Genetic mutations (e.g., BRCA1 or BRCA2)
• Women who prefer not to have radiation therapy

Lumpectomy vs. Mastectomy

Feature	Lumpectomy	Mastectomy
Breast preservation	Yes	No
Radiation therapy	Typically required	Often not needed
Recovery time	Shorter	Longer, especially with reconstruction
Recurrence risk	Slightly higher (but manageable with radiation)	Lower
Cosmetic impact	Less visible change	Complete breast removal

How to Decide

Choosing between a lumpectomy and mastectomy isn’t only about medical suitability; it’s also about how you feel about your body, lifestyle, and long-term peace of mind. Some women value breast preservation; others prioritise a more aggressive approach to reduce future risk.

Factors that influence your decision may include:

• Tumour size and location
• Breast size relative to the tumour
• Overall health and age
• Family history and genetic factors
• Willingness or ability to undergo radiation
• Emotional comfort with outcomes

Speak With a Specialist You Trust

Whatever choice you make, it’s important to have a thorough conversation with a lumpectomy surgeon or breast specialist who understands your condition and your concerns. Both options can offer excellent long-term survival rates when part of a well-planned treatment strategy.

Dr. Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic are here to offer compassionate, individualised guidance to help you understand your surgical options and choose the path that aligns with your health goals and personal values. Book a consultation today to explore what’s right for you.

From Appendicitis To Hernias: Common Surgical Procedures Explained

Key Pointers:

• General surgery treats appendicitis, hernias, gallstones, skin lumps, and colorectal conditions.
• Many operations use minimally invasive techniques for faster recovery and smaller scars.
• Warning signs: acute abdominal pain, fever, visible bulge, persistent bleeding, or bowel changes.
• Timely assessment prevents perforation, strangulation, and other serious complications.
• Consult a general surgeon in Singapore for accurate diagnosis and safe treatment.

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When abdominal pain strikes or a bulge appears where it shouldn’t, the thought of surgery can be unsettling. However, in many cases, general surgery provides fast, practical solutions to conditions that could otherwise become serious or life-threatening. In Singapore, procedures like appendectomies and hernia repairs are among the most frequently performed, and understanding them helps reduce anxiety and guide timely action.

If you’re unsure about whether a symptom requires surgery or just monitoring, here’s a breakdown of some standard general surgical procedures and what they involve.

1. Appendicitis and Appendectomy

What it is: Appendicitis is the inflammation of the appendix, a small pouch attached to the large intestine. It can cause sharp abdominal pain, fever, and nausea.

The surgery: An appendectomy involves removing the inflamed appendix before it ruptures. It’s often performed laparoscopically (through small incisions), which allows for faster recovery and minimal scarring.

Why it’s needed: A ruptured appendix can lead to serious infections and complications. Prompt surgery is the safest and most effective treatment.

2. Hernias and Hernia Repair

What it is: A hernia occurs when part of an organ or tissue pushes through a weak spot in the abdominal wall. It often presents as a visible bulge and may cause discomfort, especially when lifting or bending.

The surgery: Hernia repair involves repositioning the protruding tissue and reinforcing the weak spot, often with surgical mesh. It can be done as open or minimally invasive surgery, depending on the case.

Why it’s needed: Left untreated, hernias can grow larger or become strangulated, which is a surgical emergency.

3. Gallbladder Removal (Cholecystectomy)

What it is: Gallstones or gallbladder inflammation (cholecystitis) can cause severe pain, nausea, and digestive issues.

The surgery: A cholecystectomy removes the gallbladder, commonly via laparoscopy. It’s a routine and safe procedure, with most patients resuming normal activity within a week.

Why it’s needed: Gallstones can block bile flow, causing complications like infections or pancreatitis if not treated.

4. Lumps and Skin Lesions

What it is: General surgery also covers the removal of benign or suspicious lumps under the skin or in soft tissue. These can range from cysts and lipomas to breast lumps requiring biopsy.

The surgery: These procedures are typically done under local anaesthesia, with minimal downtime.

Why it’s needed: Early evaluation and removal reduce the risk of growth, infection, or missed diagnosis of malignancy.

5. Colorectal Procedures

What it is: Conditions like haemorrhoids, anal fistulas, and diverticular disease often require surgical management.

The surgery: Depending on the severity, treatment can range from minimally invasive procedures to more complex operations such as bowel resections.

Why it’s needed: Timely intervention can relieve symptoms, prevent complications, and improve quality of life.

Your Health, Your Peace of Mind

General surgery is about restoring comfort and preventing future health risks. Many procedures today are minimally invasive, with shorter recovery times and reduced scarring. Still, the decision to undergo surgery should always be followed by a thorough consultation.

If you’ve been dealing with unexplained symptoms or have been informed you need surgery, book an appointment with Dr Radhika Lakshmanan at The Radhika Breast & General Surgery Clinic for a detailed evaluation and professional care you can trust.

Why Timing Your Breast Health Screening Around Your Menstrual Cycle Matters?

Hormonal fluctuations throughout the month affect breast tissue density and tenderness, influencing both how you feel during the procedure and the clarity of imaging. Throughout a typical 28-day menstrual cycle, levels of oestrogen and progesterone rise and fall in a predictable pattern. In the week leading up to your period, rising oestrogen causes breast ducts to dilate and fluid to accumulate in the tissue. The result? Your breasts may feel fuller, firmer and more sensitive, conditions that can both heighten discomfort under compression and produce denser images that obscure small abnormalities on a mammogram.

On the flip side, the days just after menstruation, usually between day 7 and day 14, tend to present the lowest levels of these hormones. At this point, breast tissue is at its least dense and tender, offering several advantages: mammograms and ultrasounds are easier to interpret, reducing the likelihood of repeat scans, and you’ll generally feel more at ease during the procedure. For most women, this “window of opportunity” is when breast screening delivers optimal results.

Plan Your Appointment with Precision

1. Track Your Cycle: Mark the first day of bleeding as day 1. Over a few months, note the average length to pinpoint your post-period period.
   
2. Book Early: Call your clinic to secure a slot between days 7 and 14. Many screening centres in Singapore understand this timing and may accommodate your preference if you mention it when booking.
   
3. Communicate Discomfort: Even in the ideal window, some women experience sensitivity. Let the radiographer know so they can adjust the compression pressure or use cushioning pads for added comfort.
   

Special Considerations

• Irregular Cycles: If perimenopause or hormonal treatments make your cycle unpredictable, choose any day when your breasts feel least swollen or tender.
  
• Hormonal Medications: Contraceptives or hormone-replacement therapy can alter normal patterns. Consult your doctor about the best timing based on your specific regimen.
  
• Self-Exams: Perform monthly checks a few days after your period to ensure tenderness doesn’t mask lumps, familiarising yourself with your baseline breast texture.
  

Maximise Your Screening Success

• Wear a Two-Piece Outfit: Only your top needs removal, making the process smoother and more discreet.
  
• Skip Caffeine Pre-Scan: Some find that cutting caffeine 24 hours before reduces breast sensitivity.
  
• Bring a Support Buddy: A friend or family member can offer moral support and help you note any follow-up instructions.
  

Aligning your breast health screening with your menstrual cycle may feel like a small step, but it can yield more accurate results and a more comfortable experience. By understanding how hormonal shifts influence breast density and tenderness, you empower yourself to take control of your care.

Ready to schedule your next breast screening at the optimal time? Contact Radhika Breast & General Surgery today and pick a date that works with your cycle. Because a bit of planning now leads to greater peace of mind tomorrow.

Nutrition And Exercise Tips For Post-Mastectomy Recovery

Recovering from a mastectomy is not just about healing the physical scars; it’s about regaining strength, confidence, and a sense of normalcy. For many women in Singapore, this journey involves adjusting to new routines, emotions, and physical limitations. While medical follow-ups are crucial, what you eat and how you move play a significant role in how well and how comfortably you recover.

If you or a loved one is navigating recovery after a mastectomy, these practical nutrition and exercise tips can make a real difference. Let’s look at how you can support your body from the inside out.

Nourish Your Body With Purpose

Good nutrition is essential for healing and energy during post-mastectomy recovery. After surgery, your body needs extra support to repair tissues, manage inflammation, and strengthen immunity.

Focus on a balanced diet that includes:

• Lean protein: Helps rebuild tissues. Include options like tofu, fish, eggs, and chicken.
• Whole grains: Brown rice, oats, and wholemeal bread provide long-lasting energy and fibre.
• Healthy fats: Avocados, nuts, seeds, and olive oil support brain and heart health.
• Fresh fruits and vegetables: Rich in antioxidants, they aid in recovery and reduce inflammation.
• Hydration: Drink plenty of water throughout the day to stay energised and support metabolic function.

If you’re undergoing further treatment such as chemotherapy or radiation, you might experience changes in appetite or taste. Small, frequent meals and easily digestible foods can help. Consider consulting a dietitian experienced in post-surgical cancer care here in Singapore for a tailored meal plan.

Moving With Care

Exercise might be the last thing on your mind after surgery. But gentle, appropriate movement is key to regaining mobility and reducing stiffness, particularly in the shoulder and arm on the affected side.

Start slow and always follow your surgeon’s or physiotherapist’s advice. Some gentle options include:

• Deep breathing and soft stretching: Excellent for circulation and relaxation in the initial weeks.
• Arm and shoulder mobility exercises: Help prevent stiffness and improve range of motion.
• Walking: A simple, low-impact way to maintain cardiovascular health and boost your mood.
• Gradual resistance training: Once approved by your care team, light weights or resistance bands can help rebuild muscle strength.

It’s also important to monitor for signs of lymphedema, swelling due to the accumulation of lymph fluid. Avoid heavy lifting, tight clothing, and repetitive strain on the affected arm without guidance from a professional.

Listening To Your Body

Recovery is personal. While some women feel ready to return to daily activities within weeks, others may take longer, and that’s completely normal. The key is to honour your body’s signals, prioritise rest, and not rush the process. Surround yourself with supportive professionals and loved ones who understand your journey.

You’re Not Alone

In Singapore, clinics like Radhika Breast & General Surgery offer comprehensive post-mastectomy care, combining medical support with lifestyle guidance. From post-op check-ups to tailored rehabilitation plans, you don’t have to navigate this path alone.

Taking the first steps towards healing? Speak to your doctor or physiotherapist about a recovery plan that includes nutrition and exercise. Supporting your body today can make all the difference for tomorrow.

Breast Reconstruction Later in Life: Recovery, Expectations, and What Feels Right for You

Choosing to undergo breast reconstruction after mastectomy is a deeply personal decision, one that doesn’t have an expiry date. Whether you’re in your 50s, 60s, or beyond, you may be wondering if it’s too late to consider reconstruction, or what recovery might look like at this stage of life.

The truth is, there’s no “right” age for breast reconstruction. What matters most is your comfort, health goals, and what feels right for you. If you’re considering this option later in life, here’s what to know about recovery, expectations, and how to make a decision that supports your overall well-being.

It’s Not Just About Age, It’s About You

Age alone shouldn’t be the deciding factor. Instead, doctors look at your overall health, lifestyle, and any ongoing treatments such as chemotherapy, radiotherapy, or medication for other conditions. If you’re in generally good health and the idea of reconstruction brings you peace of mind or helps you feel more like yourself, then it’s worth exploring.

Some women choose reconstruction immediately after mastectomy, while others wait months, or even years. This delay is completely valid and can give you time to process, heal, and decide on your terms.

Understanding Your Options

There are a few types of reconstruction, and the choice may depend on your body, your medical history, and your preferences:

• Implant-based reconstruction: A less invasive option that uses saline or silicone implants to recreate the breast shape.
  
• Autologous (flap) reconstruction: Uses tissue from another part of your body (like the abdomen or back) to rebuild the breast.

Your doctor will help you weigh the pros and cons of each based on how your body might respond to surgery and recovery.

What Recovery Might Look Like Later in Life

Recovery after breast reconstruction varies from person to person, but here are some things to keep in mind as you consider surgery later in life:

• Healing may take longer than it would in your 30s or 40s, especially if you have underlying health conditions like diabetes or high blood pressure.
  
• You might feel tired for several weeks, particularly if you’ve chosen a flap procedure, which involves a longer operation.
  
• Pain is usually manageable with medication and tends to ease within the first few weeks.
  
• You’ll likely need to limit physical activity for a few weeks, no heavy lifting or stretching until cleared by your doctor.
  
• Regular follow-up visits will help ensure everything is healing as expected.
  

Most women return to their regular routines within 4 to 8 weeks, depending on the type of reconstruction and the pace of recovery.

Emotional Support Matters, Too

Breast reconstruction isn’t just a physical journey, it can bring up a lot of emotions, especially if you’ve been living without a breast for some time. Many women describe a sense of closure or feeling “whole” again after surgery, while others feel just as confident without reconstruction.

Whatever your experience, know that it’s okay to have mixed feelings. Talking to a counsellor, support group, or even other women who’ve had the surgery can help you feel less alone and more prepared.

Making the Decision That Feels Right for You

Ask yourself:

• What’s motivating me to consider reconstruction now?
• Do I feel like I need to do this, or do I genuinely want to?
• How important is the physical change to my sense of self or body image?
• Am I prepared for the recovery, or do I have support in place?

There’s no wrong answer, only what aligns with your priorities. Some women opt for a prosthetic or go flat and feel completely comfortable with their choice. Others find that reconstruction helps them move forward.

Let’s Talk About Your Options

If you’re thinking about breast reconstruction later in life, Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic are here to help you explore your options without pressure. We believe that your comfort and well-being should lead the conversation, no matter your age.

Book a consultation today to discuss what feels right for you. We’re here to guide you with clarity, compassion, and support at every step of your decision-making journey.