01 · MINIMAL INCISION
Minimal Incision
Performed through an incision of only a few millimeters, so suturing is often unnecessary and the scar burden stays low. The site and size of the incision follow the position and size of the lesion.
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Your Concerns
Are you facing any of these concerns?
01
I was told there is a lump (mass) on my breast ultrasound.
02
It is said to be a fibroadenoma, and I am worried the incision scar will be large.
03
I have several lumps — can they be addressed in one session?
04
I would also like a tissue biopsy for confirmation.
05
I want it removed while minimizing the scar.
If any of these concerns resonate,
now is the time to speak with a specialist.
About Surgery
Mammotome — Why Diagnosis Comes First
Mammotome is a method that uses a vacuum-assisted device to excise benign breast masses through a minimal incision. Because the lesion is confirmed in real time with ultrasound while it is being excised, the scar burden can be reduced compared with a conventional wide-incision approach.
It is not, however, applied identically to every breast mass. Whether the lesion is benign, and whether its size, number, and location are suitable for the procedure, must first be confirmed through imaging and physician assessment — and this judgment determines whether the procedure is appropriate and how it is carried out.
Mammotome is a method for excising benign masses and for obtaining tissue for diagnostic purposes; it is not a procedure that replaces the treatment of malignant disease such as breast cancer. If malignancy is suspected, additional testing and appropriate medical care are required.
Because it is performed through a small incision, it is usually carried out under local anesthesia with a short procedure time, and same-day return to daily life is possible in many cases. Recovery varies by individual depending on the size and number of lesions.
At Umnagumo, eligibility for the procedure is judged carefully on the basis of physician assessment and imaging, and the procedure and subsequent care are guided in a direction that reduces the scar burden.
Why Choose Us
The Umnagumo Approach to Mammotome
We determine eligibility first through imaging and physician assessment, reduce the scar burden with a minimal incision, and guide biopsy confirmation and follow-up care.
01
Diagnosis First
Eligibility judged by imaging and physician assessment
02
Anesthesia · Recovery
Local anesthesia · same-day return to daily life in many cases
03
Procedure Focus
Ultrasound-guided · minimal incision · biopsy confirmation
WHAT IS MAMMOTOME
What Mammotome Is — Vacuum-Assisted Excision Without a Large Incision
Mammotome is a vacuum-assisted method of excising benign breast masses. The lesion is watched in real time on ultrasound while a fine excision probe aspirates and removes the tissue, so both the incision size and the scar burden can be kept smaller than with the conventional wide-incision approach. Whether the procedure is appropriate, and how it is performed, is judged by the specialist from imaging and clinical examination.
02 · ULTRASOUND-GUIDED
Ultrasound Guidance
Because the lesion is excised under real-time ultrasound, removing several masses through a single insertion can be considered. Eligibility is judged after clinical review.
03 · LOCAL ANESTHESIA
Local Anesthesia
Usually carried out under local anesthesia with a short procedure time, and same-day return to daily life is common. Recovery varies with the size and number of lesions.
INDICATIONS
When It Is Considered
Mammotome is considered chiefly for breast masses that have been diagnosed as benign, or that are presumed benign. The examples below are those commonly cited; the actual decision on whether — and how far — to proceed is always made by the specialist from imaging and clinical examination.
Fibroadenoma
The most common benign mass; excision is weighed by size, number, and the degree of discomfort.
Benign Cysts and Masses
Masses with benign features on ultrasound that are growing or causing symptoms.
Lesions Requiring Biopsy
Where tissue must be obtained for diagnosis, biopsy and excision can be reviewed together.
Mammotome is a method for excising benign masses; it does not substitute for the treatment of malignant disease such as breast cancer. Where malignancy is suspected, further testing and the appropriate specialist care are required.
INDICATIONS & LIMITS
Which Lumps Are Candidates for Mammotome — Indications and Limits
Mammotome begins not with excision but with sorting lesions. Set out here are the general criteria that separate suitable lesions from unsuitable ones; the judgment in any individual case is made through clinical examination.
01 · GOOD CANDIDATES
When It Is Indicated
Well-defined masses with benign features on ultrasound — most typically the fibroadenoma — are the lesions reviewed for excision.
02 · NOT THE ANSWER
When Mammotome Is Not the Approach
A lesion in which malignancy is suspected or confirmed belongs to surgical excision and dedicated specialist treatment — Mammotome does not take their place.
03 · DIAGNOSIS FIRST
Diagnosis First
Imaging and examination establish eligibility first; depending on the findings, observation over time can be more appropriate than excision.
When excision is considered — the typical candidate is a well-defined mass with benign features on ultrasound, such as a fibroadenoma. Excision may also be considered when a mass has grown during follow-up, when it can be felt and causes discomfort or anxiety, or when tissue confirmation is needed. Yet even among identical benign findings the approach can differ with size, position, and number — so the decision to excise is made by weighing the imaging and the examination together.
When Mammotome is not the approach — a lesion in which malignancy is suspected or confirmed belongs to surgical excision and the specialist treatment that goes with it. Mammotome is not a procedure that substitutes for these, and should such findings emerge during our work-up, our principle is to connect you promptly with the appropriate care.
Why diagnosis leads — imaging (ultrasound) and clinical examination establish eligibility first, and a biopsy precedes the procedure where needed. Not every lump is removed as a matter of course; depending on the findings, watching a lesion over time can serve you better than excising it. So that removal itself never becomes the goal, we give the decision of whether to excise the time it deserves.
VS OPEN EXCISION
Mammotome and Open Surgery — What Actually Differs
Both methods excise breast masses, but they differ in purpose and in how they proceed. Neither is superior in every case — which one fits depends on the findings of the lesion itself.
Mammotome (Vacuum-Assisted Excision)
The lesion is excised through a few-millimeter incision under ultrasound view, usually under local anesthesia, and a same-day return to daily life is common.
Open Excision
The method required when a lesion must be removed whole, in a single piece — it involves a skin incision and sutures.
Mammotome (vacuum-assisted excision) — performed through an incision of a few millimeters, so the scar burden stays small. The lesion is watched in real time under ultrasound guidance as it is excised; the procedure is usually done under local anesthesia with little need for sutures, and a same-day return to daily life is common. The excised tissue is sent for biopsy where needed, and the result is followed through with you.
Open excision — the method needed when the lesion must come out whole, as one intact specimen — for instance, where malignancy is suspected. It involves a skin incision and closure, and the recovery differs accordingly, yet depending on the nature of the lesion this can be the more suitable choice.
In the end, the size, position, and findings of the lesion decide which method fits — the diagnosis, not preference, determines how a lesion is excised. At your consultation we explain the differences between the two and the reasons behind our recommendation.
The Procedure and Recovery
After local anesthesia, the lesion is located with ultrasound and the excision probe is introduced through a small incision, where vacuum assistance aspirates and excises the tissue. The procedure time varies with the size and number of lesions.
Afterward, compression is applied for hemostasis together with aftercare, and a same-day return to daily life is common. Bruising and swelling generally subside with time, though the course varies by individual.
The excised tissue can be examined by biopsy where needed, and any management that follows from the result is guided through your consultations.
Cost and Insurance
The cost follows the size and number of the lesions, their location, and whether a biopsy accompanies the excision. Our principle is individual guidance matched to the clinical findings rather than a posted comparison price.
Whether insurance applies can depend on the nature of the lesion, the diagnosis, and the terms of the policy you hold, so it cannot be answered in one line. The relevant documents, and whether coverage may be available, are reviewed together at your consultation.
FAQ
Mammotome FAQ
It is often performed through a small incision of only a few millimeters, so suturing is rarely required and the scar burden tends to be small. The location and size of the incision vary with the position and size of the lesion, and recovery varies by individual.
Because excision is carried out under real-time ultrasound guidance, excising several masses through a single insertion can be considered. Whether this is actually possible is judged after examination, depending on the position, size, and number of the lesions.
The excised tissue can be examined by biopsy where needed. Any subsequent management based on the biopsy result is advised through medical consultation.
It is usually performed under local anesthesia, so same-day return to daily life is possible in many cases. Bruising and swelling generally subside over time, though this varies by individual depending on the size and number of lesions.
The excised lesion itself is removed, but by the nature of breast tissue a new mass can arise in a different area, so regular follow-up observation is recommended. Recurrence and follow-up management are advised through medical consultation.
Mammotome is a method for excising benign masses and obtaining tissue for diagnostic purposes; it does not replace the treatment of malignant disease. If malignancy is suspected, additional testing and appropriate medical care are required.
Whether insurance (such as indemnity insurance) applies can vary with the nature of the lesion, the diagnosis, and the terms of your policy, so it cannot be stated uniformly. The relevant documents and whether coverage may apply are reviewed together during consultation.
The healing of the excision site and any residual or newly arising tissue are checked periodically with ultrasound. The follow-up schedule depends on the nature of the lesion and the findings after excision, and is advised individually at your consultation.
Even with implants in place, feasibility can be assessed according to the location and findings of the lesion. A medical team that also performs breast augmentation and revision plans the access route and the procedure with the risk of implant damage in mind, and the actual decision is made after imaging and examination.
Consultation
Talk to a Specialist
Our specialists, with 25+ years of experience, consult with you personally.
Receive a tailored diagnosis and optimal surgical plan, made for you.