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Advances in Minimally Invasive & Oncoplastic Breast Surgery

Dr Chong Chee Keong

Breast, Colorectal and General Surgeon

MBBS (Singapore), FRCS (Edinburgh), FRCS (Glasgow), FAMS (Singapore)

Specialist Accreditation in Intensive Care Medicine

Specialists Accreditation Board, Medical Director & Senior Consultant

Breast cancer surgery has advanced significantly in recent years. Modern surgical techniques now focus not only on removing cancer effectively but also on preserving breast appearance, supporting faster recovery and maintaining quality of life after treatment.

Today, many patients may benefit from minimally invasive breast surgery and oncoplastic breast surgery, which aim to remove tumours precisely while protecting healthy breast tissue whenever possible. Understanding these newer surgical approaches can help patients make informed decisions about their breast cancer treatment options.

What Is Minimally Invasive Breast Surgery?

Minimally invasive breast surgery refers to surgical techniques that remove breast tumours while minimising damage to surrounding healthy tissue. Compared to traditional procedures, minimally invasive techniques often involve smaller incisions, more precise tumour removal and reduced disruption of breast tissue. These approaches may help support smoother recovery and improved cosmetic outcomes for suitable patients. Common minimally invasive breast surgery techniques include:

Breast-Conserving Surgery (Lumpectomy)

Breast-conserving surgery, also known as a lumpectomy, removes the tumour along with a small margin of surrounding healthy tissue while preserving most of the breast. This procedure is commonly recommended for early-stage breast cancer and is often followed by radiation therapy to reduce the risk of recurrence.

Sentinel Lymph Node Biopsy

A sentinel lymph node biopsy identifies and removes the first few lymph nodes that breast cancer is most likely to spread to. This technique allows surgeons to evaluate whether cancer has spread to the lymph nodes while reducing the need for extensive lymph node removal, which can help lower the risk of complications such as arm swelling (lymphedema).

What Is Oncoplastic Breast Surgery?

Oncoplastic breast surgery combines breast cancer removal with reconstructive surgical techniques to preserve or restore the natural appearance of the breast. This approach aims to achieve two important goals at the same time:

  • Effective cancer removal.
  • Maintaining breast shape, symmetry and cosmetic outcomes.

Oncoplastic surgery may be recommended when a larger amount of breast tissue needs to be removed or when the tumour is located in an area that may significantly affect breast appearance. Depending on the situation, oncoplastic techniques may include:

  • Reshaping remaining breast tissue after tumour removal to maintain natural contour.
  • Breast reduction or breast lift techniques to improve symmetry between both breasts.
  • Immediate breast reconstruction, performed during the same surgery as tumour removal in selected cases.

By combining cancer treatment with reconstructive planning, oncoplastic breast surgery can help patients achieve better aesthetic outcomes while maintaining effective cancer care.

What Are the Latest Advances in Breast Surgery?

Advances in surgical technology and planning have improved how breast cancer is treated today. Modern techniques allow surgeons to remove tumours more precisely while preserving healthy tissue and supporting improved cosmetic outcomes. Some of the latest developments include:

Improved imaging and tumour localisation

Advanced imaging techniques help surgeons accurately locate and remove breast tumours, even when they are very small or difficult to feel during physical examination.

Improved tumour localisation can support more precise surgery and better preservation of surrounding breast tissue.

Skin-sparing and nipple-sparing techniques

In selected cases, surgeons may use skin-sparing or nipple-sparing mastectomy techniques, which preserve more of the natural breast skin and nipple.

These approaches can significantly improve breast reconstruction outcomes and overall cosmetic appearance after surgery.

Refined breast-conserving surgery methods

Advances in surgical planning and oncoplastic techniques allow surgeons to remove larger tumours while still maintaining breast shape. This means that more patients may be candidates for breast-conserving surgery rather than full mastectomy, depending on their specific diagnosis.

How Is the Right Surgical Approach Determined?

The most suitable surgical approach for breast cancer varies from person to person. Doctors consider several factors to determine whether minimally invasive techniques, oncoplastic surgery or other treatment options are most appropriate. Some of the key factors that may influence surgical planning include:

Stage of the cancer

The size of the tumour and whether cancer has spread to nearby lymph nodes or other tissues plays an important role in determining treatment options.

Location of the tumour

The position of the tumour within the breast may influence whether breast-conserving surgery or other surgical approaches are recommended.

Breast size and shape

A patient’s breast size, breast shape and available tissue may affect whether oncoplastic techniques or reconstruction options are suitable.

Patient’s overall health

Existing medical conditions and the patient’s ability to safely undergo surgery are important considerations in treatment planning.

Personal preferences

Some patients prioritise breast preservation, reconstruction options, cosmetic outcomes or recovery time when making treatment decisions. A breast surgeon will carefully evaluate these factors and discuss the available options to help patients make informed decisions about their treatment.

Seek Advanced Breast Cancer Care with Maven Surgery

Advances in minimally invasive and oncoplastic breast surgery are transforming breast cancer treatment by allowing surgeons to remove cancer effectively while preserving breast appearance whenever possible. These modern techniques can help many patients achieve effective cancer treatment with improved cosmetic outcomes and smoother recovery.

Maven Surgery offers personalised breast cancer care supported by advanced surgical techniques and comprehensive diagnostic services. Dr Chong Chee Keong, a dual-fellowship-trained surgeon with more than 20 years of experience, is dedicated to helping patients achieve effective cancer treatment while preserving quality of life and breast appearance whenever possible. Contact our clinic to schedule a consultation and learn more about minimally invasive and oncoplastic breast surgery options.

Meet Our Specialist

Dr Chong Chee Keong Breast, Colorectal and General Surgeon MBBS (Singapore), FRCS (Edinburgh), FRCS (Glasgow), FAMS (Singapore) Specialist Accreditation in Intensive Care Medicine Specialists Accreditation Board, Medical Director & Senior Consultant

Dr Chong Chee Keong is a Breast, Colorectal and General Surgeon with over 20 years of clinical experience. Dual-fellowship-trained and highly accredited, he founded Maven Surgery with a commitment to elevating the standard of care for breast and colorectal cancers, the two most common cancers affecting women and men.

Dr Chong works closely with multidisciplinary teams of surgical, medical and radiation oncologists and remains actively involved in international cancer conferences to stay at the forefront of advancing techniques. He has a strong focus on minimally invasive surgery, recognising the importance of preserving self-image while maintaining treatment safety and effectiveness.

FAQs About Advances in Modern Breast Surgery

How do surgeons stay updated on advances in breast surgery?

Breast surgeons often participate in medical training, research, and international conferences to stay informed about new techniques and treatment strategies. Continuous learning helps ensure patients benefit from the latest developments in breast cancer care.

How do advances in breast surgery support personalised treatment?

Can modern breast surgery approaches reduce the need for corrective procedures later?

“Your Partner in Every Step of Recovery and Beyond”

For appointments and enquiries, contact us via form below or call us at (+65) 6355 5285

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Mount Elizabeth Novena Specialist Centre

38 Irrawaddy Road #06-33,Singapore 329563

Parkway East Medical Centre

319 Joo Chiat Place #02-05,Singapore 427989

Farrer Park Medical Centre

1 Farrer Park Station Rd #15-13,Singapore 217562

Operating Hours: Monday to Friday: 9:00 AM to 5:00 PM Saturday: 9:00 AM to 1:00 PM Closed on Sundays and Public Holidays