Her Fight is Our Mission

Modified radical mastectomy involves the removal of the entire breast along with axillary lymph nodes (levels I and II). It is most often performed in patients with invasive breast cancer where lymph node involvement is suspected or confirmed. The procedure offers both disease control and important staging information that guides further treatment.

At Apollo Athenaa Women’s Cancer Centre, modified radical mastectomy is performed with precision, compassion, and multidisciplinary planning. Our approach prioritises safety, aesthetic closure, and post-surgical comfort — with options for immediate or delayed breast reconstruction.

How the Procedure Is Performed

• The procedure is performed under general anesthesia.
• An incision is made to remove the entire breast tissue, the nipple–areola complex and overlying skin, while preserving the underlying muscles.
• Axillary dissection is carried out to remove lymph nodes from levels I and II (under and around the armpit).

If reconstruction is planned:

• Coordination with the plastic and breast reconstructive surgery team ensures flap-based or implant-based reconstruction can be initiated immediately.

The total surgery time typically ranges from 2 to 3.5 hours.

Recovery

• Hospital stay: Most patients are discharged within 2–3 days, depending on drain output and overall recovery. Drains are typically removed 7–10 days after surgery.
• Pain management: Post-operative discomfort is managed with pain medications; shoulder mobility exercises are encouraged early to avoid stiffness.
• Resuming routine: Most patients can return to routine activities within 3–4 weeks, with full recovery in 6–8 weeks.
• Lymphedema management: The plastic and breast reconstructive team will also coordinate efforts to reduce the risk of lymphedema post-surgery.

Key Advantages

• Oncologically complete removal of both breast tissue and regional lymph nodes, allowing for accurate staging and better local control of disease.
• Safe and effective technique for most operable breast cancers with lymph node involvement.
• Preservation of muscle and nerves ensures better functional outcomes and reduces long-term complications.
• Reconstruction can be done immediately or at a later stage based on patient preference and oncologic plan.
• Seamless integration with other treatments like chemotherapy or targeted therapy, as needed.

Continuum of Care

Following a modified radical mastectomy, patients at Apollo Athenaa receive coordinated, multidisciplinary follow-up that includes:

• Detailed histopathology review to determine stage, margins, and further treatment needs
• Regular surveillance with clinical exams and imaging to monitor for recurrence and support long-term health
• Tumour board discussions to tailor adjuvant therapy (chemotherapy, radiation, hormonal therapy)
• Post-surgical rehabilitation to restore arm movement, reduce swelling risk, and improve quality of life
• Ongoing psychological and emotional support through counselling, survivorship planning, and support groups

Our expert surgical oncology team is committed to guiding every woman through her cancer journey with dignity, support, and continuous care — from diagnosis to recovery and beyond.