https://www.drtourani.com.au/breast-surgery-blog daily 0.75 2026-03-21 https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/bc94f8c9-39e5-4f59-b857-45172503258b/Dr-Saam-Tourani-Breast-Surgeon-Melbourne-2.jpeg https://www.drtourani.com.au/breast-surgery-blog/vacuum-assisted-excision-vae monthly 0.5 2026-03-21 https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/fd00723b-e275-4312-921a-e81f00c4f2be/BD_EnCor.png Breast Surgery Blog - Vacuum-Assisted Excision (VAE): A Minimally Invasive Option for Breast Lesion Removal - Make it stand out Vacuum-assisted biopsy/excision device https://www.drtourani.com.au/breast-surgery-blog/breastfeeding-breast-cancer monthly 0.5 2026-03-21 https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/e10f31ac-4f20-42c0-8dcf-6f0bc533a2a1/Breastfeeding.jpg Breast Surgery Blog - Breastfeeding and Breast Cancer: What You Need to Know - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.drtourani.com.au/breast-surgery-blog/understanding-breast-density monthly 0.5 2026-03-21 https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/0d09a595-fe35-43fc-a407-07e86555e7b1/Breast-Density.jpg Breast Surgery Blog - Demystifying Breast Density: Key Facts and Considerations - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.drtourani.com.au/breast-surgery-blog/gynaecomastia-and-male-breast-reduction monthly 0.5 2026-03-21 https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/bbc3ada0-9d26-4717-976c-28b586f218c0/Gynaecomastia.png Breast Surgery Blog - What Is Gynaecomastia? Causes, Symptoms and Treatment Options - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/3a6a8659-a530-4163-9905-bb727ec9f091/Gynaecomastia-schematic.jpg Breast Surgery Blog - What Is Gynaecomastia? Causes, Symptoms and Treatment Options - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/6dfc8519-5c22-4807-8053-3666b4d27311/Gynaecomastia-symptoms.png Breast Surgery Blog - What Is Gynaecomastia? Causes, Symptoms and Treatment Options - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/c7c39acf-5b86-45d3-8024-ba7e0a62e0b1/gynaecomastia-grading.jpg Breast Surgery Blog - What Is Gynaecomastia? Causes, Symptoms and Treatment Options - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/27969540-9fe7-404e-afd1-7ed09dcf9ad0/Gynaecomastia-excision.jpg Breast Surgery Blog - What Is Gynaecomastia? Causes, Symptoms and Treatment Options - Make it stand out Bilateral gynaecomastia. Top left before, top right and bottom pictures 1 year after open excision through semicircular periareolar scars. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/eba7ed4d-faf7-4f85-99bd-4658ad014598/Gynaecomastia-asymmetry.jpg Breast Surgery Blog - What Is Gynaecomastia? Causes, Symptoms and Treatment Options - Make it stand out Right gynaecomastia. Top left before, top right and bottom pictures 1 year post open excision with circular periareolar incision. https://www.drtourani.com.au/breast-surgery-blog/fat-grafting monthly 0.5 2026-03-21 https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/7990bb46-6d75-4d8e-a253-592a37176a52/breast-Fat-grafting.png Breast Surgery Blog - Fat Grafting: Sculpt. Restore. Rejuvenate. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/a9f731a4-3ff9-41ac-94ca-2d06f3ecbfbd/breast-fat-transfer.jpg Breast Surgery Blog - Fat Grafting: Sculpt. Restore. Rejuvenate. - Make it stand out The harvested fat is purified and drawn into syringes ready to be injected into the breast. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/8c131812-b8df-48da-91a5-78964f83e0ec/breast-fat-grafting-for-asymmetry.jpg Breast Surgery Blog - Fat Grafting: Sculpt. Restore. Rejuvenate. - Make it stand out Fat grafting for developmental asymmetry. Before (left) and 3 months after (right) a single session of fat grafting to the left breast for developmental asymmetry. The asymmetry had resulted in problem with bra fitting, which in turn led to nipple stimulation and left nipple discharge. The nipple discharge resolved following lipofilling. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/0b8a5bf5-19e3-4246-a205-43717db4447f/breast-Fat-grafting-for-rippling.jpg Breast Surgery Blog - Fat Grafting: Sculpt. Restore. Rejuvenate. - Make it stand out Fat grafting for left implant rippling. Left column before; middle column after left breast two-stage implant reconstruction and right breast prophylactic mastectomy and direct to implant reconstruction; right column 1 year following fat grafting to the left breast to correct implant rippling. https://www.drtourani.com.au/breast-surgery-blog/removal-of-breast-implants monthly 0.5 2026-03-21 https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/18bb92e9-9e19-4cb6-8b23-d0d60921cd0a/ruptured-breast-implant.jpg Breast Surgery Blog - Removal of Breast Implants: Discover your Options - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/bd031053-2f25-4b9b-a4e4-23febfe8ab4f/Breast-implant-capsulectomy.png Breast Surgery Blog - Removal of Breast Implants: Discover your Options - Make it stand out Thick calcified capsules associated with bilateral ruptured implants. On the left no remaining implant shell was found. A ruptured implant shell was removed on the right side. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/86ac6273-b4d6-47fc-bdce-ea90b5491dd1/Revision-Augmentation-Mastopexy.jpg Breast Surgery Blog - Removal of Breast Implants: Discover your Options - Make it stand out Top left before, top right and bottom pictures 6 months after removal of bilateral ruptured implants and replacement with similar size implants and anchor-scar mastopexy. https://www.drtourani.com.au/breast-surgery-blog/breast-reduction monthly 0.5 2026-03-21 https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/f1f23733-b4d1-4daf-9ee2-bc4c267cd169/Breast-Reduction-in-Melbourne-Cover.jpg Breast Surgery Blog - Breast Reduction Breast reduction surgery, also known as reduction mammoplasty, is a highly effective procedure designed to alleviate various physical and emotional burdens associated with overly large breasts. For many women, large breasts can cause discomfort, pain, and even hinder daily activities. During breast reduction surgery, excess breast tissue, fat, and skin are removed, resulting in a smaller, more proportionate breast size that aligns with your body. This surgery not only improves breast aesthetics but also enhances overall comfort and quality of life. By achieving a more balanced and manageable breast size, patients can often experience relief from chronic pain, including back, neck, and shoulder pain, and can participate in physical activities with greater ease. Your breast reduction journey typically begins with a consultation, where Dr. Saam Tourani will discuss your goals and provide detailed information about the surgery. He'll review your medical history to ensure you're a suitable candidate and outline the breast reduction surgery process, from initial anaesthesia to the closing of incisions and scar management following your surgery. Every step is meticulously planned to ensure optimal results and a smooth recovery. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/b20f2ceb-152a-4539-b4cd-ca6cdf0e1420/Breast-Reduction-before-and-after-1.jpg Breast Surgery Blog - Breast Reduction - Make it stand out Pre (top left) and 1 year post (top right and bottom) bilateral breast reduction. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/f5eabbe5-f92a-4f17-9190-1c3c4f3de94e/Breast-Reduction-before-and-after-2.jpg Breast Surgery Blog - Breast Reduction - Make it stand out Pre (top left) and 1 year post (top right and bottom) bilateral breast reduction for left breast cancer. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/7b8d2dab-4549-4713-8a51-f7190a5d75da/Breast-Reduction-scars.jpg Breast Surgery Blog - Breast Reduction - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/64de3650-6cd5-4313-a7c7-edeaffed7cd5/BREAST-REDCUTION-ANCHOR-SCAR.jpg Breast Surgery Blog - Breast Reduction - Make it stand out Inverted T or anchor scar is the most common type of incision used for breast reduction. https://www.drtourani.com.au/breast-surgery-blog/armpit-lymph-node-surgery monthly 0.5 2026-03-21 https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/0accbddf-30d8-42e4-9e1e-dac5ad10025b/Sentinel-lymph-node--biopsy.jpg Breast Surgery Blog - Armpit Lymph Node Surgery for Breast Cancer - Sentinel Lymph Node Biopsy SLNB is the most common operation to assess the axillary lymph nodes. It involves removal of typically the first 1-3 nodes that drain the breast (sentinel nodes, SNs). The idea is that if these nodes are negative (harbor no breast cancer cells) then the remaining lymph nodes in the axilla are also negative therefore saving the patient from higher morbidities of a complete ALND. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/1ddce89c-2fa3-44a7-8a12-832cc2c656a1/Lymphoedema-patient.jpg Breast Surgery Blog - Armpit Lymph Node Surgery for Breast Cancer - Make it stand out Severe left arm lymphoedema following ALND for breast cancer. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/fcfd075a-e421-4036-91ff-29a642699e94/Lymphoedema.jpg Breast Surgery Blog - Armpit Lymph Node Surgery for Breast Cancer - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/f71df3a7-6f2c-427d-8268-8b2acfcf6af2/Immediate-lymphatic--reconstruction.jpg Breast Surgery Blog - Armpit Lymph Node Surgery for Breast Cancer - Make it stand out Immediate lymphatic reconstruction: The cut ends of arm lymphatic channels are joined with a recipient vein in the armpit at the time of ALND. https://www.drtourani.com.au/breast-surgery-blog/familial-breast-cancer-and-genetic-testing monthly 0.5 2026-03-21 https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/fdc67ebe-b145-40bc-902c-fcd3af52d693/Familial-Breast-Cancer_cover_2.jpg Breast Surgery Blog - Familial Breast Cancer and Genetic Testing - As pointed out in our previous blog on Breast Cancer Risk Factors, 90% of breast cancers are sporadic, i.e., happen by chance. Genetics accounts for 5-10% of breast cancers in general. However, 25% of breast cancers in women < 30 years of age is due to an inherited pathogenic gene. If you have one or more close relatives that has been diagnosed with breast or ovarian cancer, you probably want to know if that indeed does increase your risk of breast cancer in future and if you need to do something about it. This blog is written to demystify the rather complex topic of familial breast cancer and prepare you for a more individualised discussion with your specialist. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/f0b99284-85c5-46a4-89a9-8e04cdb8c5b2/Familial_Breast_Cancer_Cover_3.webp Breast Surgery Blog - Familial Breast Cancer and Genetic Testing - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.drtourani.com.au/breast-surgery-blog/bia-alcl-textured-breast-implants monthly 0.5 2026-03-21 https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/4a2b9591-82dd-41c5-b09d-1835e6c9ec46/Textured-vs-Smooth-breast-implant.jpg Breast Surgery Blog - Textured Breast Implants and BIA-ALCL: What You Need to Know - Make it stand out Figure 1. A smooth (S) vs a textured (T) breast implant. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/3acee3a6-82ed-4bdc-9b9c-5ba7c6845a20/Round-vs-anatomical-breast-implant.png Breast Surgery Blog - Textured Breast Implants and BIA-ALCL: What You Need to Know - Make it stand out Figure 2. A round (left) vs an anatomical or teardrop (right) implant. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/c72b401f-9b90-416a-9054-5269e586786c/compare-round-vs-anatomical-breast-implant.jpg Breast Surgery Blog - Textured Breast Implants and BIA-ALCL: What You Need to Know - Make it stand out Figure 3. Breast shape by implant type. (Left) Breast reconstructed with round, smooth implant; (right) breast reconstructed with anatomical implant. Both implants have the same silicone gel fill. Note the convex, augmented upper pole with the round implant compared to the straight, more natural upper pole with the anatomical implant. (Adapted from Gabriel A, Maxwell GP. PRS. Jul 2019) https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/d70e01cc-86ef-45b0-824c-65a10b3cba30/breast-implant-rippling.jpg Breast Surgery Blog - Textured Breast Implants and BIA-ALCL: What You Need to Know - Make it stand out Figure 4. Right breast rippling following reconstruction with a silicone gel implant with low form stability. (Adapted from Nahabedian M. PRS. Jul 2019) https://www.drtourani.com.au/breast-surgery-blog/oncoplastic-breast-surgery monthly 0.5 2026-03-21 https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/1717153888368-WVRAHWWJEKYS886MTDIF/Title+pic.jpg Breast Surgery Blog - Oncoplastic Breast Surgery: The Art of Breast Conservation - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/1717153888372-4HYTOIOFPEZ9WKG69XWM/Picture+1.jpg Breast Surgery Blog - Oncoplastic Breast Surgery: The Art of Breast Conservation - Make it stand out Picture 1. Lumpectomy was done through a small incision on top of the tumour in the right breast. What appeared to be a very nice and small scar right after surgery, turned to an obvious indentation after radiotherapy. This is very difficult to fix, often requiring multiple sessions of fat grafting with unpredictable outcome. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/1717153888379-4TSCRQKTUIHKAFDGJIUC/Picture+2.jpg Breast Surgery Blog - Oncoplastic Breast Surgery: The Art of Breast Conservation - Make it stand out Picture 2. Left: “Bird beak” deformity following lumpectomy and radiotherapy for a lower pole right breast cancer without closure of the cavity. Contracture of the cavity has caused downward deviation of the nipple. Right: Extreme distortion of the left breast with nipple deviation following a large lumpectomy through a small lateral incision. Extensive reconstructive surgery will be required to improve this deformity. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/1717153888385-GD5WO5L7HWEN30RH51IM/Picture+3.jpg Breast Surgery Blog - Oncoplastic Breast Surgery: The Art of Breast Conservation - Make it stand out Picture 3. Social area of the breast: The upper inner part of the breast is often shown in a low-cut dress. However, as fashion designers become more and more creative, less and less of the breast remains safe for us breast surgeons to hide our scars! https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/1717153888390-C7NIAGKDJFJHA546TVKG/Picture+4.jpg Breast Surgery Blog - Oncoplastic Breast Surgery: The Art of Breast Conservation - Make it stand out Picture 4. Therapeutic mammoplasty, photos were taken before operation (top) and 6 months after surgery and radiotherapy (bottom): A large cancer in the upper outer part of the left breast (the hatched area) was removed along with breast reduction. The lower pole breast tissue was shifted to fill in the lumpectomy defect. A symmetry procedure on the right side was planned following completion of adjuvant therapy. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/1717153888394-AOPFZBH3T2XV3L1ZUR88/Picture+5.jpg Breast Surgery Blog - Oncoplastic Breast Surgery: The Art of Breast Conservation - Make it stand out Picture 5: Therapeutic mastopexy, photos were taken before operation (left) and 6 months after surgery and radiotherapy (right): A lumpectomy through a periareolar scar was performed at the first operation. A re-excision procedure was required to achieve clear margins. This was combined with a mastopexy to lift the breast and fill in the defect created in the upper pole following margin re-excision. A contralateral symmetry procedure can be performed if desired. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/1717153888399-6DZDE4L2AT9HME6UEEON/Picture+6.jpg Breast Surgery Blog - Oncoplastic Breast Surgery: The Art of Breast Conservation - Make it stand out Picture 6: Right breast lymphoedema following lumpectomy, axillary lymph node dissection and radiotherapy. Despite compliance with her lymphoedema therapy sessions, she is feeling miserable with her chronic symptoms and is requesting a mastectomy! A breast reduction at the time of lumpectomy (therapeutic mammoplasty) could have prevented this condition. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/1717153888405-8C0NW90UNFOX2R5DF6S6/Picture+7.jpg Breast Surgery Blog - Oncoplastic Breast Surgery: The Art of Breast Conservation - Make it stand out Picture 7: Symmetrising reduction of the contralateral breast: Therapeutic mammoplasty was done for right breast cancer a year prior. Preoperative photo (top right) and 2 weeks after symmetrising left breast reduction (top left and bottom). https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/1717153888409-MV0DLIMJO2J16MQBLO0L/Picture+8.jpg Breast Surgery Blog - Oncoplastic Breast Surgery: The Art of Breast Conservation - Make it stand out Picture 8: LICAP flap: This flap is the most common perforator flap used for partial breast reconstruction following lumpectomy for a large breast cancer. A 5cm area of DCIS in the lateral part of the left breast is marked with two wires. A LICAP flap is marked to allow filling of the lumpectomy defect. The perforator vessels supplying the flap are mapped (black crosses) before surgery (left). Photos taken 10 days following surgery (middle and right). The scar is well hidden in the lateral mammary fold. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/1717153888414-Q0JXAPTLIRNEI5GNC9H6/Picture+9.jpg Breast Surgery Blog - Oncoplastic Breast Surgery: The Art of Breast Conservation - Make it stand out Picture 9: AICAP flap: This flap is ideal for lower pole tumours. Top: Preoperative photos with a large right breast cancer at 7 o’clock associated with skin tethering. Bottom: Six months following right breast lumpectomy and AICAP flap followed by adjuvant radiotherapy. The scar is well hidden in the inframammary fold. https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/1717153888418-DHQ04KNTTWO7C2CQSUM4/Picture+10.jpg Breast Surgery Blog - Oncoplastic Breast Surgery: The Art of Breast Conservation - Make it stand out Picture 10: Extract from the current patient information page on lumpectomy from the American Cancer Society. I was surprised to see that patients are still informed that a breast indentation following lumpectomy is an often-expected outcome! In my opinion this is an aesthetic failure that should be avoided by a good surgical planning and technique and should only be considered as a rare but possible complication after lumpectomy. https://www.cancer.org/cancer/breast-cancer/treatment/surgery-for-breast-cancer/breast-conserving-surgery-lumpectomy.html https://www.drtourani.com.au/breast-surgery-blog/lumpectomy-vs-mastectomy-for-breast-cancer monthly 0.5 2026-03-21 https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/74a285aa-8d4c-4723-b45a-8ea380913f84/Breast-lumpectomy-margins.png Breast Surgery Blog - Lumpectomy versus Mastectomy for Breast Cancer - Make it stand out Figure 1. Lumpectomy margins: During lumpectomy your surgeon aims to remove the cancer with a healthy margin of normal tissue around it (hence technically called wide local excision). However in 10-15% of cases the cancer may extend to the resection margin, requiring re-excision to achieve clear (negative) margin. https://www.drtourani.com.au/breast-surgery-blog/breast-cancer-risk-factors monthly 0.5 2026-03-21 https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/d21a2e4e-7557-42bd-8d0e-520a148efab1/Breast-cancer-risk-factors-cover.jpg Breast Surgery Blog - Breast Cancer Risk Factors https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/489685f2-8b25-40f0-bc1e-2320859cac51/Breast-cancer-risk-factors.jpg Breast Surgery Blog - Breast Cancer Risk Factors - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.drtourani.com.au/breast-surgery-blog/breast-cancer-subtypes monthly 0.5 2026-03-21 https://images.squarespace-cdn.com/content/v1/6659b05a52ae6932d3ec44b4/9274eed9-6340-4423-9c34-ab18bf541d11/Breast-Ductal-Cancer.jpg Breast Surgery Blog - Breast Cancer Subtypes - Make it 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