Body Changes After Double Mastectomy
Learn about the physical and emotional body changes after a double mastectomy. Understand what to expect during recovery and how to support your well-being post-surgery.
Written by Dr. Dhankecha Mayank Dineshbhai
Reviewed by Dr. Md Yusuf Shareef MBBS
Last updated on 14th Oct, 2025
Introduction
A double mastectomy is a surgical procedure where both breasts are removed, often as a treatment or preventive measure for breast cancer. While this surgery can be life-saving, it also brings significant physical and emotional changes. If you or a loved one is considering or has undergone a double mastectomy, it's important to understand what to expect and how to adapt to these changes.
Physical Changes After a Double Mastectomy
Some of the physical changes after a double mastectomy are:
1. Immediate Post-Surgery Changes
Right after surgery, you may experience:
Pain and discomfort: This is normal and can be managed with prescribed pain medications.
Swelling and bruising: These will gradually subside over a few weeks.
Drains: Temporary tubes may be placed to remove excess fluid from the surgical site.
2. Scarring
Scars will form where the breast tissue was removed. Over time, they will fade but may remain visible. Proper wound care can help with healing.
3. Changes in Chest Sensation
Numbness or tingling: Due to nerve damage during surgery, you may lose sensation in the chest area. Some feeling may return over time, but it may not be the same as before.
Tightness in the chest: The skin and muscles may feel tight, especially if reconstruction was done.
4. Lymphedema (Swelling in the Arms)
If lymph nodes were removed during surgery, fluid may build up in the arms, causing swelling. Gentle exercises and wearing compression sleeves can help manage this.
5. Posture and Balance Adjustments
The removal of breast tissue can affect your centre of gravity, leading to posture changes. Physical therapy can help strengthen muscles and improve balance.
Consult Top Specialists for Personalised Tips
Emotional and Psychological Impact
A double mastectomy can bring mixed emotions, including:
Grief or loss: Many women feel a sense of loss about their body image.
Anxiety or depression: Coping with changes in appearance and health can be challenging.
Body confidence issues: Adjusting to a new body shape may take time.
Support Tips:
Talk to a therapist or counsellor: Professional help can ease emotional struggles.
Join a support group: Connecting with others who have had similar experiences can be comforting.
Express your feelings: Writing, art, or talking to loved ones can help process emotions.
Reconstruction Options
If you choose breast reconstruction, you have several options:
Implants: Silicone or saline implants can restore breast shape.
Autologous (Flap) Reconstruction: Uses tissue from another part of your body (like the abdomen) to rebuild the breast.
Going Flat: Some women opt not to have reconstruction and embrace a flat chest.
Things to Consider:
Recovery time varies depending on the type of reconstruction.
Multiple surgeries may be needed for the best results.
Discuss expectations with your surgeon before deciding.
Lifestyle Adjustments After a Double Mastectomy
Some of the lifestyle adjustments after a double mastectomy are:
1. Clothing and Bras
Post-surgical bras: These provide support and comfort during healing.
Prosthetic breasts: If you don’t opt for reconstruction, prosthetics can help with symmetry under clothing.
Adaptive clothing: Some brands design clothes specifically for post-mastectomy needs.
2. Exercise and Movement
Start slow: Gentle stretching and walking help with recovery.
Avoid heavy lifting: Follow your doctor’s advice on when to resume normal activities.
Physical therapy: Helps regain strength and flexibility in the chest and arms.
3. Diet and Nutrition
Eat a balanced diet: Focus on protein, vitamins, and hydration to aid healing.
Limit salt if experiencing lymphedema: Too much sodium can worsen swelling.
4. Intimacy and Self-Image
Communicate with your partner: Open discussions about feelings and physical changes can strengthen relationships.
Explore new ways to feel confident: Some women use tattoos, scarves, or special lingerie to embrace their new body.
When to Seek Medical Help?
Contact your doctor if you experience:
Severe pain not relieved by medication.
Signs of infection (redness, fever, pus).
Sudden swelling or worsening lymphoedema.
Conclusion
A double mastectomy is a major life change, but with time, support, and self-care, you can adapt and thrive. Whether you choose reconstruction or embrace a flat chest, what matters most is your health and well-being. If you have concerns or need guidance, Apollo 24|7 offers consultations with specialists who can help you through recovery and beyond. You can book an appointment or schedule tests easily through our platform.
Consult Top Breast Surgeon
Consult Top Specialists for Personalised Tips
Dr. Anup Dhir
Plastic Surgeon
38 Years • MBBS MS (General Surgery) MCh (Plastic & Reconstructive Surgery) FECSM (Fellow of the European Committee of Sexual Medicine). Senior Consultant- Plastic and Cosmetic Surgery.
Delhi
Apollo Hospitals Indraprastha, Delhi
Dr. Sudip Roy
General and Laparoscopic Surgeon
33 Years • MBBS, MS (General Surgery), DA, FRCS - General Surgery (RCPS , Glasgow)
Kolkata
Apollo Multispeciality Hospitals , Kolkata, Kolkata
(200+ Patients)
Dr. Asha Reddy
Breast Surgeon
5 Years • MBBS, MS (General Surgeon), Masters Oncoplastic Breast surgery, (UK) Fellowship in Breast Oncology (Tata Memorial Hospital, Mumbai ), Fellow of the European Board of Surgery (FEBS), Fellow of American College of Surgeons (FACS )
Chennai
Apollo Hospitals Cancer Centre Nandanam, Chennai
(125+ Patients)
Dr. Bithika Noah
Breast Surgeon
35 Years • M S SURGERY
Hyderabad
Apollo Clinic Chanda Nagar, Hyderabad
Dr. B Sujeeth Kumar
Surgical Gastroenterologist
16 Years • MBBS, MS(General Surgery), FIAGES(Minimal Access Surgery), FAIS, FALS (Advanced Laparoscopic Colorectal Surgery), DIPMAS(Minimal Access Hernia Surgery), FICRS (Robotic Surgery)
Manikonda Jagir
Apollo Clinic, Manikonda, Manikonda Jagir
Consult Top Breast Surgeon
Dr. Anup Dhir
Plastic Surgeon
38 Years • MBBS MS (General Surgery) MCh (Plastic & Reconstructive Surgery) FECSM (Fellow of the European Committee of Sexual Medicine). Senior Consultant- Plastic and Cosmetic Surgery.
Delhi
Apollo Hospitals Indraprastha, Delhi
Dr. Sudip Roy
General and Laparoscopic Surgeon
33 Years • MBBS, MS (General Surgery), DA, FRCS - General Surgery (RCPS , Glasgow)
Kolkata
Apollo Multispeciality Hospitals , Kolkata, Kolkata
(200+ Patients)
Dr. Asha Reddy
Breast Surgeon
5 Years • MBBS, MS (General Surgeon), Masters Oncoplastic Breast surgery, (UK) Fellowship in Breast Oncology (Tata Memorial Hospital, Mumbai ), Fellow of the European Board of Surgery (FEBS), Fellow of American College of Surgeons (FACS )
Chennai
Apollo Hospitals Cancer Centre Nandanam, Chennai
(125+ Patients)
Dr. Bithika Noah
Breast Surgeon
35 Years • M S SURGERY
Hyderabad
Apollo Clinic Chanda Nagar, Hyderabad
Dr. B Sujeeth Kumar
Surgical Gastroenterologist
16 Years • MBBS, MS(General Surgery), FIAGES(Minimal Access Surgery), FAIS, FALS (Advanced Laparoscopic Colorectal Surgery), DIPMAS(Minimal Access Hernia Surgery), FICRS (Robotic Surgery)
Manikonda Jagir
Apollo Clinic, Manikonda, Manikonda Jagir
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