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Smaller Incisions Precise Surgery 
Endoscopy-Assisted Mastectomy at Athenaa

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What is Endoscopy-Assisted Mastectomy
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Endoscopy-assisted mastectomy is a minimally invasive surgical technique used to remove breast tissue through small, strategically placed incisions — often in areas like the axilla (armpit). This approach is particularly well-suited for women with small breasts, who wish to avoid visible chest wall scars and prioritize cosmetic outcomes alongside cancer control.

At Apollo Athenaa, endoscopy-assisted mastectomy is offered to eligible patients with early-stage breast cancer or ductal carcinoma in situ (DCIS), especially when combined with immediate reconstruction. The procedure reflects our philosophy of preserving form without compromising oncologic safety.  

How the Procedure 
is Performed
At Apollo Athenaa, every surgical step is carefully planned and performed by experienced breast surgeons with a focus on safety, precision, and recovery.
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  • The procedure is performed under general anesthesia.
  • Small incisions are made, typically below the axilla, to allow endoscopic instruments to access the breast.
  • The surgeon uses an endoscope (a thin, camera-equipped instrument) to visualize the breast tissue and carefully dissect and remove the entire glandular tissue.
  • The skin envelope and, in many cases, the nipple–areola complex is preserved.
  • Sentinel lymph node biopsy or axillary dissection is performed through the same incision, as needed.
  • Immediate breast reconstruction is always carried out during the same procedure using implants or flaps.
  • Surgery duration ranges from 3 to 4.5 hours, depending on reconstruction complexity.
     
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Recovery 
Healing at Apollo Athenaa is supported through structured post-operative care, counselling, and rehabilitation support.
Hospital Stay

Most patients are discharged within 2–3 days of surgery. Drain tubes may be placed and typically remain for 5–7 days.

Pain Management

Pain and discomfort are usually mild and well-managed with oral medications.

Resuming Routine

Daily activities can often be resumed within 7–10 days, with complete recovery in 3–4 weeks.

Physiotherapy

Post-operative care includes wound monitoring, scar care, and guidance on arm mobility and posture.

Key 
Advantages
At Apollo Athenaa, surgery is thoughtfully planned with a personalized approach, ensuring safety, precision, and optimal outcomes.
Minimal Scarring
Incisions are placed away from the central breast for superior cosmetic outcomes
Faster Recovery
Shorter hospital stay and faster recovery, thanks to the minimally invasive approach
Risk Reduction
Lower risk of wound complications, particularly in patients prone to poor healing
Aesthetic Benefit
Better psychological and body image outcomes, especially in younger women or those prioritizing aesthetic considerations
Continuum of Care
At Apollo Athenaa, our teams remain involved at every stage, ensuring that recovery is not only physical, but also emotional and empowering. Post-surgery, each woman is supported through
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Detailed pathology review to confirm complete tumor clearance

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Multidisciplinary tumor board input to plan adjuvant therapy, if needed

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Supportive services including physiotherapy, scar therapy, and body image counselling

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Long-term surveillance through regular clinical reviews and imaging

Frequently Asked Questions
What is endoscopy-assisted mastectomy?
01

It is a minimally invasive surgery to remove breast tissue using small incisions and an endoscope (a tiny camera). This technique reduces visible scarring while ensuring safe and complete removal of breast tissue.

Who can opt for this procedure?
02

Candidates typically include women with early-stage breast cancer or those opting for prophylactic mastectomy, especially if they are considering reconstruction. Your surgeon will assess tumor size, location, and breast anatomy to determine eligibility.

What are the benefits of this approach?
03

Smaller, less noticeable scars, Shorter hospital stay, Faster recovery, Suitable for immediate reconstruction with skin- or nipple-sparing techniques

Are there any risks or complications?
04

Risks are similar to traditional mastectomy and may include infection, bleeding, delayed wound healing, or changes in nipple sensation. Your surgical team will guide you on how to minimize risks.

How long is the recovery period?
05

Most patients recover within 4–6 weeks. Light daily activities can usually be resumed within 1–2 weeks, while strenuous exercise may require more time.

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