In fact, in conditions where the breast cosmetics can be preserved along with the complete removal of the tumor, the most ideal and natural thing is to preserve the patient's own breast. However, in cases where the tumor is large or widespread in the breast, covers a large area, or is multi-focal, the breast tissue remaining after the tumor or risky tissues are completely removed is not enough to provide adequate cosmetics. Sometimes, even though there is no tumor in the breast, the person's breast tissue may be unilaterally or bilaterally at high risk of developing breast cancer in the future. In this case, no risky breast tissue should be left in the patient's breasts, and the inside of the breast is emptied unilaterally or bilaterally. Having genetic disorders that may lead to breast cancer, having a large number of people with breast cancer in the person's family, or having had breast cancer before and getting cancer again are the most common reasons for bilateral breast evacuation. When the inside of the breast is to be emptied, the skin of the breast is protected. Where possible, protecting the nipple and its surroundings as well as the breast skin is necessary for good cosmetics. When the inside of the breast is emptied, the resulting breast cavity is filled with an implant or with the patient's own tissues taken from the patient's body, creating a new breast that will be cosmetically satisfactory to the patient. However, a point that should be noted here is that surgery to remove the entire breast or empty its interior should not be performed unless necessary. Excessive worry that the tumor will grow back in the future may cause the patient to empty the breast unnecessarily. It should not be forgotten that it is ideal to protect the breast of the sick person whenever possible and does not pose a risk. Please discuss in detail with your breast surgeon, medical and radiation oncologist whether the breast should be evacuated unilaterally or bilaterally, and follow the recommendations of your physicians and breast cancer councils.
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