Our Services

Breast Surgery

 

 

Our Services

Here at East Cheshire NHS Trust, we understand how women must feel about having breast surgery. We will always do our utmost to ensure that every patient's experience is positive. Here are some comments from patients who have had breast surgery:

"The whole team (surgeon; breast care nurses; oncologists; the nurses; the chemo nurses and everybody else at the Macmillan…) is absolutely fabulous. Many thanks to all of them."
 
"My biggest concern on diagnosis was the disfigurement of having my entire nipple area removed as I have very small breasts. Dr Kokan had stressed that my tumour was tiny and very early stage. Pre op I voiced my concern to him and he very kindly agreed to leave the area as intact as possible. The finished result is so good that evidence of a lumpectomy cannot even be seen. I will always be extremely grateful to him."

Breast Cancer

Please visit the NHS Choices website to look at the different options of treatment of breast cancer.

Breast Surgery Information leaflets are available to download here

Breast procedures at East Cheshire NHS Trust

We specialise in the following types of reconstructions :

We also perform contra lateral symmetrisation procedures such as :

Surgical options

Surgical options are breast conserving surgery (lumpectomy) and mastectomy. Breast conserving surgery in some cases can be combined with a breast lift up (mastopexy) or breast reduction, this procedure is called a Therapeutic Mammoplasty. Most patients having a mastectomy are suitable to have an immediate reconstruction. Download the Breast conserving leaflets on the right for details.

Breast Conserving Surgery

Breast Conserving Surgery 2

Breast Reconstruction Surgery

Breast reconstruction should be viewed as a process, rather than as one finite operation. It may take a number of operations to get the desired cosmetic result, or to treat complications that develop due to the effects of time and gravity (such as capsule formation around an implant and increasing breast asymmetry).

It is important to understand what can be achieved through the process of breast reconstruction. It is simply not possible to reconstruct a breast that is as good or as natural as one’s own breast. Whilst we do our best in surgery, our results are simply not as good as those achieved through nature. We aim to make a reconstructed breast that looks symmetrical with the other breast when wearing a bra. However, out of a bra, it will be obvious that the breast has undergone major surgery and a reconstruction. Also, in general, the reconstructed breast sits higher on the chest wall than the other breast, is firmer to touch, relatively insensate and much less mobile.  So, a reconstructed breast does not necessarily look, move or feel like a normal breast.

More information is available in the leaflet on the right.

Breast conserving surgery

The aim of breast conserving surgery is to remove the cancer along with a centimetre of surrounding normal breast tissue all around it and to leave the woman with a reasonably normal looking breast.

The cosmetic result will depend on:
•       Size of the tumour
•       Position of the tumour within the breast
•       Size of the breast
More information about breast conserving surgery is available in the leaflet on the right.

Our Team

The surgeons are:

Name Title Number

Mr. Jalal Kokan, (JK)

Consultant Oncoplastic Breast Surgeon

Secretary – Mrs. Lisa Plant

lisa.plant@nhs.net

01625 661053

Miss Chandeena Roshanlall, (CR)

Consultant Breast and Reconstructive Surgeon

Secretary – Mrs. Lisa Plant

lisa.plant@nhs.net

01625 661306

Miss Abeera Abbas

Associate Specialist in Breast Surgery

Secretary – Mrs. Lisa Plant

lisa.plant@nhs.net

01625 661053

 

 

 

 

 

 

 

 

 

 

The breast care nurses are:

Name Title Number
Victoria Cooper Macmillan Breast Care Nurse Specialist 01625 663079
Nichola Van der Ploeg Macmillan Breast Care Nurse Specialist  01625 661976 
Denise Hamer Macmillan Breast Care Nurse Specialist 01625 661976
Helen Smith Macmillan Lymphoedema Nurse 01625 661976

 

 

 

 

 

Role of Macmillan Breast Care nurse Specialist

We provide emotional support, information and advice on all aspects of breast disease for patients, families and carers, from time of diagnosis, during and on completion of treatment. We provide information and advice on different treatments and treatment options.

The breast care nurses provide nurse led clinics, including seroma drainage and lymphoedema management. We can help with and arrange the fitting of suitable breast prosthesis, practical advice regarding bras and clothing.

The breast care nurses can provide information and support regarding financial issues, breast reconstruction, family history and breast awareness.

Where appropriate we can refer patients for additional support, for example counselling. We provide ongoing support at any point in the future should anxieties arise that relate to breast disease.

More information

If you wish to speak to the breast care nurses you can contact the team directly Monday – Friday 9.00am – 5.00pm on the following numbers: 01625 663079 / 661976 / 661650.

There is a secretary who will be happy to take your call if a nurse is unavailable. A telephone answering machine is also in operation. Calls are returned as soon as possible.

The breast care nurses are unavailable at the weekend or on bank holidays. Please contact your GP or hospital ward for advice if you have recently been discharged following surgery.

Other useful telephone numbers

Breast Cancer Care: 0808 800 6000
Macmillan Cancer Support: 0808 808 00 00

Breast Surgery Clinics

Clinics - Day

 Morning Clinic

 Afternoon Clinic

 Monday

 CR rapid access

 

 Tuesday

 JK results and follow-up

YJ under 35 and male rapid access

 

 Wednesday

 JK/CR alt rapid access

 CR Handforth results and follow-up

 Thursday

 CR follow-up

 

 Friday

 JK rapid access

 JK results and reconstruction