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Oncoplastic Breast Surgery

Breast Cancer

Breast cancer is the most common cancer in the UK despite the fact that it is rare in men. In 2008, there were 48,034 new cases of breast cancer diagnosed in the UK: 47,693 (over 99%) in women and 341 (less than 1%) in men.

Breast cancer is by far the most common cancer in women in the UK, accounting for 31% of all cases in women. The next most common cancer in women is lung cancer, with 17,960 cases in 2008 (12% of total lung cancer diagnoses).

So nearly a third of all new cancers in women are breast cancers. The life time risk of developing breast cancer was estimated in 2008 to be 1 in 1,014 for men and 1 in 8 for women in the UK.

Breast cancer risk is strongly related to age, with 81% of cases occurring in women aged 50 years and over.

Nearly half (48%) of cases of breast cancer are diagnosed in the 50-69 age group. Although very few cases of breast cancer occur in women in their teens or early 20s, breast cancer is the second most commonly diagnosed cancer in women under 35.

Among women aged 35-39, over 1,300 cases of breast cancer are diagnosed each year. Breast cancer incidence rates generally increase with age.

Breast cancer can be invasive and non-invasive. Non-invasive breast cancer is called DCIS. Of all women diagnosed this year with invasive breast cancer, only a very small minority will die of breast cancer over the next 10 years.

Because of advances in diagnosis and treatment, it is very reasonable in most cases of breast cancer to aim for an effective cure with treatment. In other words, a full life and death from old age and not breast cancer.

There is a spectrum of breast cancers, however, and some women require more treatment than others.

The chances of living a normal life-span after treatment for breast cancer depends on a variety of factors and at the end of the day, any estimate of your chances of having further complications with breast cancer is just that – an estimate.

No-one can predict the future.

As most women will live a long time with the effects of breast cancer treatment – many years if not a normal lifetime in most cases – it is important that any adverse effects of treatment are minimised, identified and treated.

Under the care of Mr Ahmad, the treatment plan recommended for your breast cancer will be the best that a team of experts can design.

Within the framework of these recommended treatments there will usually be genuine options and choices between treatments that are equally effective at treating the breast cancer but have different effects on you in terms of side-effects or your appearance.

Thus, within certain limits, treatments can be tailored to your individual requirements and expectations.

Oncoplastic Breast Surgery & Breast Reconstruction

Oncoplastic breast surgery applies the principles of plastic and cosmetic breast surgery to breast cancer surgery. Some of the many potential benefits of being able to offer this range of surgical skills are:

  • Better cosmetic outcomes from breast cancer surgery – This ranges from creating a neat simple mastectomy scar, to minimising deformity after breast-conserving surgery, to breast reconstruction after mastectomy.
  • More options – One of the big areas of benefit is the greatly increased range of options for breast-conserving surgery so that more women have the option of avoiding mastectomy.
  • Better cancer-related outcomes – This has yet to be proven but oncoplastic surgery can potentially enhance the effectiveness of breast cancer surgery by enabling cancers to be excised with a wider clearance margin.
  • In addition using oncoplastic techniques, it is more likely that the cancer is excised with a clear margin at the first attempt. In some cases the ability to achieve a large margin of excision may mean that radiotherapy is not required (e.g. after breast-conserving surgery for DCIS).
  • Better quality of life after breast cancer surgery – As treatment of breast cancer improves and life-expectancy after breast cancer increases, quality of life is a very important outcome.
  • There are of course many factors that influence quality of life but from a breast surgery perspective this can sometimes be improved by oncoplastic surgery. For instance, the effects of cancer removal on appearance can be minimised using the principles outlined above.
  • In addition, cancer surgery can also include the adjustment of overall breast size or shape: large breasts can be made smaller, small breasts can sometimes be made bigger, and the aging breast can sometimes be given an uplift.

The principle of effective and uncompromising treatment of breast cancer remains the primary aim for the oncoplastic breast surgeon just as it does for a breast surgeon who cannot offer these skills. The difference is that the oncoplastic surgeon has a wider range of plastic surgical techniques to use in different situations.

Expertise in breast cancer surgery and breast plastic surgery allows an oncoplastic breast surgeon to recommend surgical procedures with a full knowledge of the effect that they may have on the cancer outcome and vice versa (sometimes cancer treatments can affect the appearance after breast surgery).

Mr Sheikh Ahmad is an accomplished leading specialist in the field of oncoplastic and cosmetic breast surgery. He is totally committed to delivering a very high quality service to women of Cornwall. He is very well versed in advanced oncoplastic techniques and produces extremely good results from both oncological and cosmetic points of view for his cancer patients.

To his mastectomy patients,  Mr. Ahmad offers multiple options and will suggest the most appropriate reconstruction, one which will be most suited to his patients” needs and desires.

Following is a list of breast reconstruction procedures either in immediate or delayed settings that Mr Ahmad offers to his patients:

  • Pedicle TRAM
  • Extended autologous LD
  • Implant aided LD
  • Strattice-based implant breast reconstruction
  • Lower sling implant based breast reconstruction
Mr Ahmad applies advanced techniques for breast conservation surgery, thus causing minimum or no distortion of the natural shape of the breast and in certain cases the shape of the breast can even be improved with these advanced techniques.
These advanced breast conservation techniques have several advantages. Firstly, it allows Mr Ahmad to remove all cancer in the first operation, and secondly, with the use of these techniques, Mr Ahmad maintains and sometimes improves the natural shape of the native breast.
Following are some of the main techniques Mr Ahmad uses:
  • Therapeutic mammoplasty (Vertical pattern and Wise-pattern inverted T)
  • Correctional mammoplasty
  • Rotational flap
  • Perforator flap
  • Mini LD
  • Strattice TM based correction of previous volume deficiency

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