Double Mastectomy Before And After
Explore what to expect before and after a double mastectomy, including physical changes, emotional impact, and recovery tips. Understand how this surgery can affect your life and wellness journey.
Written by Dr.Sonia Bhatt
Last updated on 11th Jul, 2025
Introduction
Undergoing a double mastectomy (the surgical removal of both breasts) is a significant decision, often made due to breast cancer, genetic risk factors, or other medical conditions. Whether you’re considering this procedure or have already undergone it, understanding what to expect before and after surgery can help you prepare emotionally and physically. This guide provides clear, compassionate information about the process, recovery, and life after a double mastectomy.
What Is a Double Mastectomy?
A double mastectomy is the surgical removal of both breasts, either partially or completely. It is commonly performed for:
Breast cancer treatment or prevention (especially in high-risk individuals with BRCA gene mutations).
Reducing recurrence risk in patients with cancer in one breast.
Managing non-cancerous conditions like severe fibrocystic disease.
There are two main types:
1. Total (Simple) Mastectomy: Removal of breast tissue, but lymph nodes and muscles remain intact.
2. Modified Radical Mastectomy: Removal of breast tissue along with lymph nodes (often done if cancer has spread).
Some women also opt for breast reconstruction immediately after mastectomy or later.
Before the Surgery: Preparation and Expectations
1. Medical Consultation & Tests
Your doctor will review your medical history, perform imaging tests (mammogram, MRI), and discuss surgical options.
Genetic testing may be recommended if you have a family history of breast cancer.
2. Emotional Preparation
A double mastectomy can be emotionally challenging. Speaking to a counselor or joining a support group can help.
Discuss expectations with your surgeon, including reconstruction options (implants or natural tissue flaps).
3. Physical Preparation
Stop smoking and avoid blood-thinning medications (like aspirin) before surgery.
Arrange for post-surgery help (someone to assist with daily tasks for a few weeks).
Consult Top Specialists for Personalised Tips
What Happens During the Surgery?
Things that happen during the surgery are:
The procedure usually takes 2-4 hours under general anaesthesia.
The surgeon removes breast tissue and, if needed, lymph nodes.
If you choose immediate reconstruction, a plastic surgeon will begin the process during the same operation.
Drains may be placed to remove excess fluid.
After the Surgery: Recovery and Healing
Here’s what happens after surgery:
1. First Few Days Post-Surgery
Pain & Discomfort: You’ll have soreness, swelling, and tightness. Pain medications will help.
Drains: You may have surgical drains for 1-2 weeks to prevent fluid buildup.
Limited Mobility: Avoid heavy lifting or strenuous activity for 4-6 weeks.
2. 1-2 Weeks After Surgery
Follow-up visits to monitor healing and remove drains/stitches.
Gentle arm exercises (as advised by a physiotherapist) to prevent stiffness.
3. Long-Term Recovery (6 Weeks to Several Months)
Scarring: Incisions will fade over time. Silicone sheets/gels can help.
Emotional Adjustment: Some women feel relief, while others experience grief or body image concerns. Therapy or support groups can be beneficial.
Reconstruction (if delayed): Can be done months or years later.
Life After a Double Mastectomy
Here’s what happens after mastectomy:
1. Physical Changes
Numbness: Some loss of sensation in the chest area is common.
Lymphoedema Risk: If lymph nodes were removed, swelling in the arms may occur. Compression sleeves and exercises help.
2. Emotional Well-being
Body Image & Confidence: Some women choose prosthetics, reconstruction, or embrace their new body.
Support Networks: Connecting with other survivors can provide comfort.
3. Breast Reconstruction Options
Implants: Silicone or saline implants restore breast shape.
Flap Reconstruction: Uses tissue from the abdomen, back, or thighs for a natural feel.
"Going Flat": Some women prefer not to reconstruct and wear prosthetics or go without.
Tips for a Smoother Recovery
Tips for smooth recovery are:
Follow Doctor’s Instructions: Take medications, care for drains, and attend follow-ups.
Gentle Movement: Light walking helps circulation; avoid heavy lifting.
Healthy Diet: Protein-rich foods aid healing; stay hydrated.
Emotional Support: Talk to loved ones or a therapist if needed.
Wear Comfortable Clothing: Front-opening shirts and soft bras reduce discomfort.
When to Seek Medical Help?
Call your doctor if you experience:
Fever or signs of infection (redness, pus, increased pain).
Severe swelling or pain not relieved by medication.
Persistent drainage or bleeding.
Conclusion
A double mastectomy is a life-changing procedure, but with proper care and support, recovery is possible. Whether you’re considering surgery or adjusting afterward, remember that you’re not alone. If you have concerns about breast health or need guidance, Apollo 24|7 offers expert consultations and support. You can book an appointment with a specialist to discuss your options.
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. Aniket Dave
Plastic Surgeon
8 Years • MBBS, MS (General Surgery), MCh (Plastic and Reconstructive Surgery)
Ahmedabad
Apollo Hospitals - Gandhinagar, Ahmedabad, Ahmedabad
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. 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. 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. Aniket Dave
Plastic Surgeon
8 Years • MBBS, MS (General Surgery), MCh (Plastic and Reconstructive Surgery)
Ahmedabad
Apollo Hospitals - Gandhinagar, Ahmedabad, Ahmedabad
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. Manjula Rao
Breast Surgeon
8 Years • MBBS, MS (General Surgery), Fellow (Breast Diseases),Fellow (Breast Oncology)
Chennai
Apollo Proton Cancer Center, Chennai
(50+ Patients)
