Problems After Mastectomy
Understand the common problems after mastectomy, including physical, emotional, and lifestyle challenges. Learn how to manage post-mastectomy complications and support recovery effectively.
Written by Dr.Sonia Bhatt
Last updated on 11th Jul, 2025
Introduction
A mastectomy is a surgical procedure to remove one or both breasts, often performed as a treatment for breast cancer or as a preventive measure for those at high risk. While this surgery can be life-saving, it may also lead to physical and emotional challenges afterward. If you or a loved one has undergone a mastectomy, it’s important to be aware of potential post-surgery issues and how to manage them effectively.
Common Physical Problems After Mastectomy
Common physical problems after mastectomy are:
1. Pain and Discomfort
After surgery, it’s normal to experience pain, soreness, or tightness in the chest, shoulder, and arm areas. This discomfort usually improves over time, but some people may have lingering pain due to nerve damage (post-mastectomy pain syndrome).
What Helps?
Take prescribed pain medications as directed.
Gentle stretching and physical therapy can improve mobility.
Using a supportive pillow while sleeping may ease discomfort.
2. Swelling (Lymphedema)
Lymphoedema is a common issue where fluid builds up in the arm or chest, causing swelling. This happens when lymph nodes are removed or damaged during surgery, affecting fluid drainage.
How to Manage Lymphoedema?
Avoid heavy lifting or strenuous activity with the affected arm.
Wear a compression sleeve if recommended by your doctor.
Elevate the arm to reduce swelling.
Practise gentle exercises to promote circulation.
3. Limited Arm and Shoulder Movement
Scar tissue and muscle stiffness can restrict arm movement, making daily activities difficult.
Tips to Improve Mobility:
Follow a physical therapy plan to regain strength.
Do light stretches to prevent stiffness.
Avoid sudden, jerky movements that may strain muscles.
4. Numbness or Tingling
Some patients experience numbness or tingling in the chest, arm, or underarm due to nerve damage. This may improve over time but can sometimes persist.
What Can You Do?
Massage the area gently to improve sensation.
Protect the numb area from extreme temperatures or injuries.
5. Scarring and Skin Changes
Scars from mastectomy may feel tight or sensitive. Some people also notice changes in skin texture or colour.
Caring for Scars:
Keep the scar clean and moisturised (ask your doctor for safe products).
Avoid sun exposure to prevent darkening of scars.
Silicone sheets or gels may help reduce scar appearance.
Consult Top Specialists for Personalised Tips
Emotional and Psychological Challenges
A mastectomy can be emotionally overwhelming. Many women experience feelings of grief, anxiety, or depression due to changes in body image and fear of cancer recurrence.
1. Coping Strategies:
Seek Support: Talk to a therapist, join a support group, or connect with others who have undergone mastectomy.
Consider Reconstruction: If desired, breast reconstruction can help restore confidence. Discuss options with your surgeon.
Practice Self-Care: Engage in relaxing activities like meditation, yoga, or hobbies that bring joy.
Lifestyle Adjustments After Mastectomy
Some of the lifestyle adjustments after mastectomy are:
1. Exercise and Physical Activity
Staying active helps with recovery, but avoid overexertion.
Recommended Activities:
Walking
Gentle yoga or stretching
Swimming (once wounds heal)
2. Healthy Eating
A balanced diet supports healing and overall well-being.
Dietary Tips:
Eat protein-rich foods (lean meats, beans, dairy) for tissue repair.
Include fruits and vegetables for vitamins and antioxidants.
Stay hydrated to help with swelling.
3. Clothing and Prosthetics
Special bras or prosthetics can provide comfort and symmetry if reconstruction isn’t an option.
Options to Consider:
Post-surgical bras for support.
Lightweight silicone prostheses (if needed).
When to See a Doctor?
Contact your healthcare provider if you notice:
Severe pain that doesn’t improve.
Signs of infection (redness, fever, pus).
Sudden swelling or worsening lymphoedema.
Emotional distress affecting daily life.
Conclusion
Recovering from a mastectomy takes time, patience, and self-care. While physical and emotional challenges may arise, knowing what to expect and how to manage them can make the journey smoother. Remember, you’re not alone—support is available, and small steps toward healing can lead to significant improvements over time.
Consult Top Breast Surgeon
Consult Top Specialists for Personalised Tips
Dr. Jayanti Thumsi
Breast Surgeon
21 Years • MBBS,MS,Clinical Attachment
Bengaluru
Apollo Hospitals Bannerghatta Road, Bengaluru
(200+ Patients)
Dr Nita S. Nair
Breast Surgeon
11 Years • "MBBS, MS (General Surgery), MCh (Surgical Oncology) MRCS (Ed.) "
Mumbai
Apollo Hospitals CBD Belapur, Mumbai
(75+ Patients)
Dr Shaikat Gupta Director Surgical Onco
Surgical Oncologist
34 Years • MBBS (University Gold Medalist), MS, FRCSEd
Kolkata
Apollo Multispeciality Hospitals , Kolkata, Kolkata
(225+ Patients)
Dr. Anup Dhir
Plastic Surgeon
38 Years • MBBS, MS, MCh (Plastic & Reconstructive Surg.), FECSM
Delhi
Apollo Hospitals Indraprastha, Delhi
Dr. Manjula Rao
Breast Surgeon
8 Years • MBBS, MS (General Surgery), Fellow (Breast Diseases),Fellow (Breast Oncology)
Chennai
Apollo Proton Cancer Center, Chennai
(50+ Patients)
Consult Top Breast Surgeon
Dr. Jayanti Thumsi
Breast Surgeon
21 Years • MBBS,MS,Clinical Attachment
Bengaluru
Apollo Hospitals Bannerghatta Road, Bengaluru
(200+ Patients)
Dr Nita S. Nair
Breast Surgeon
11 Years • "MBBS, MS (General Surgery), MCh (Surgical Oncology) MRCS (Ed.) "
Mumbai
Apollo Hospitals CBD Belapur, Mumbai
(75+ Patients)
Dr Shaikat Gupta Director Surgical Onco
Surgical Oncologist
34 Years • MBBS (University Gold Medalist), MS, FRCSEd
Kolkata
Apollo Multispeciality Hospitals , Kolkata, Kolkata
(225+ Patients)
Dr. Anup Dhir
Plastic Surgeon
38 Years • MBBS, MS, MCh (Plastic & Reconstructive Surg.), FECSM
Delhi
Apollo Hospitals Indraprastha, Delhi
Dr. Manjula Rao
Breast Surgeon
8 Years • MBBS, MS (General Surgery), Fellow (Breast Diseases),Fellow (Breast Oncology)
Chennai
Apollo Proton Cancer Center, Chennai
(50+ Patients)
