Breast Surgery

Breast Cancer and benign breast conditions

Breast surgery is Mr Graja’s main area of surgical interest with the main focus on the diagnosis and breast cancer treatment. He also deals with benign breast disease and management of breast pain.

Mr Graja is an accredited screening surgeon.

He offers his breast patients a full range of surgical operations for breast conditions and a service that is built on a strong multidisciplinary ethos, following all guidelines and evidence-based protocols for the treatment of breast disease.

Whilst maintaining the femininity and dignity of his patient, and focusing on an excellent cosmetic outcome, his aim is the efficient, effective surgical treatment of breast cancer.

Mr Graja has a deep understanding of the impact that cancer surgery can have on the quality of life of his breast cancer patient, and this enables him to offer them maximum support and a well-rounded, friendly and highly professional approach to the management of their breast disease.

In his surgical practice he uses techniques adapted from plastic surgery, known as oncoplastic techniques, to achieve the best cosmetic result without compromising the treatment for cancer.  He performs breast reconstruction after mastectomy using variety of methods such as pre-pectoral biological mesh techniques, expanders, gel implants and Latissimus Dorsi flap.

The main domains of activities

• Diagnostic / screening
• Breast cancer surgery
• Breast reconstruction
• Benign breast surgery

 Breast cancer

• Breast cancer diagnosis and management
• Breast cancer treatment planning
• Breast Conserving Surgery (lumpectomy for cancer)
• Mastectomy (simple or skin sparing to enable immediate reconstruction)
• Sentinel Lymph Node Biopsy
• Axillary Lymph Node Clearance
• Oncoplastic breast surgery
• Therapeutic Mammoplasty (lumpectomy for cancer  combined with breast reduction)
• Primary hormone therapy

Breast reconstruction

• One-stage mastectomy with reconstruction (reconstruction at the time of mastectomy) using Acellular Dermal Matrix ADM and implant in pre-pectoral and retro-pectoral position
• Nipple preserving reconstruction
• Two-stage implant reconstruction (expander to implant)
• Latissimuss Dorsi flap reconstruction
• Nipple reconstruction with tattooing

Other

• Benign breast problems
• Breast infections
• Nipple inversion
• Nipple discharge
• Mastalgia (breast pain)
• Family history and breast risk assessment
• Male breast problems
• Gynaecomastia