Risk Factors Of Mastectomy
Understand the key risk factors of mastectomy, including age, genetics, and health conditions. Learn how these factors may influence surgical outcomes and recovery.
Written by Dr.Sonia Bhatt
Last updated on 17th Jul, 2025
Introduction
Undergoing a mastectomy, a surgical procedure to remove one or both breasts—can be a life-changing decision, often made to treat or prevent breast cancer. While the procedure can be life-saving, it also comes with certain risks and considerations. If you or a loved one is considering or scheduled for a mastectomy, it’s important to be informed about the potential risk factors involved. This article aims to provide clear, compassionate, and easy-to-understand information about the risks associated with mastectomy, along with tips for recovery and long-term well-being.
What Is a Mastectomy?
A mastectomy is the surgical removal of breast tissue, usually performed to treat breast cancer or reduce the risk of developing it in high-risk individuals. There are different types of mastectomies, including:
Total (Simple) Mastectomy: Removal of the entire breast.
Modified Radical Mastectomy: Removal of the breast and some lymph nodes.
Skin-Sparing or Nipple-Sparing Mastectomy: Preserves skin or nipple for reconstruction.
Double Mastectomy: Removal of both breasts, often as a preventive measure.
While mastectomy can be a crucial step in cancer treatment, it is essential to understand the potential risks before making an informed decision.
Common Risk Factors of Mastectomy
Like any major surgery, mastectomy carries certain risks, which can vary depending on individual health, type of mastectomy, and whether reconstruction is performed.
1. Surgical Risks
Bleeding and Infection: Any surgery carries a risk of bleeding or infection at the incision site.
Pain and Discomfort: Post-surgical pain is common but manageable with medications.
Blood Clots: Prolonged immobility after surgery may increase the risk of deep vein thrombosis (DVT).
Anaesthesia Complications: Rare but possible reactions to anaesthesia.
2. Physical and Emotional Side Effects
Lymphoedema: If lymph nodes are removed, fluid buildup can cause arm swelling.
Numbness or Nerve Pain: Some patients experience temporary or permanent numbness in the chest or arm.
Body Image Concerns: Losing a breast can impact self-esteem and emotional well-being.
Menopausal Symptoms (if ovaries are affected): Hormonal changes may trigger hot flashes or mood swings.
3. Reconstruction-Related Risks
If breast reconstruction is done, additional risks include:
Implant Complications (leakage, rupture, or hardening).
Delayed Healing (especially in smokers or diabetics).
Asymmetry or Scarring (affecting cosmetic results).
4. Long-Term Health Considerations
Limited Arm Mobility: Physical therapy may be needed to restore movement.
Increased Risk of Heart Disease (in some cases): Certain treatments may affect heart health.
Psychological Impact: Anxiety, depression, or post-traumatic stress may occur.
Consult Top Specialists for Personalised Tips
How to Reduce Risks and Improve Recovery?
While some risks are unavoidable, there are steps you can take to minimise complications and support healing:
1. Before Surgery
Follow Pre-Op Instructions: Avoid smoking, manage blood sugar if diabetic, and stay hydrated.
Discuss Reconstruction Options: Talk to your surgeon about timing (immediate or delayed).
Prepare Emotionally: Seek counselling or support groups to cope with anxiety.
2. After Surgery
Follow Wound Care Guidelines: Keep the incision clean and dry to prevent infection.
Manage Pain Wisely: Take prescribed medications and avoid overexertion.
Start Gentle Movement Early: Light arm exercises can prevent stiffness and lymphoedema.
Wear a Supportive Bra: Helps with comfort and healing.
3. Long-Term Wellness
Physical Therapy: Helps restore arm strength and mobility.
Healthy Diet & Exercise: Supports healing and reduces recurrence risk.
Regular Follow-Ups: Monitor for any signs of complications or recurrence.
Emotional Support: Therapy, support groups, or talking to loved ones can help with adjustment.
When to Seek Medical Help?
Contact your doctor if you experience:
Severe pain, redness, or swelling at the incision site.
Fever or signs of infection.
Persistent swelling in the arm (lymphoedema).
Emotional distress affecting daily life.
Conclusion
A mastectomy is a significant step in the fight against breast cancer, but being aware of the risks helps in making informed decisions and preparing for recovery. Remember, you are not alone, medical teams, support groups, and loved ones can provide guidance and emotional support throughout the journey. If you have concerns about mastectomy or need personalised advice, consider consulting a specialist.
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. Aniket Dave
Plastic Surgeon
8 Years • MBBS, MS (General Surgery), MCh (Plastic and Reconstructive Surgery)
Ahmedabad
Apollo Hospitals - Gandhinagar, Ahmedabad, Ahmedabad
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. Aniket Dave
Plastic Surgeon
8 Years • MBBS, MS (General Surgery), MCh (Plastic and Reconstructive Surgery)
Ahmedabad
Apollo Hospitals - Gandhinagar, Ahmedabad, Ahmedabad
