Overview

The diagnosis of breast cancer is challenging, but modern treatment goes far beyond removal. Oncoplastic Surgery is a specialized field where the latest cancer removal techniques are merged with plastic surgery principles. This ensures that while the cancer is treated aggressively, the breast’s shape, symmetry, and aesthetic outcome are prioritized from the very first incision. Dr. Khout’s philosophy centers on achieving the highest possible cure rates while simultaneously delivering superior cosmetic results, eliminating the difficult choice between effective treatment and preserving a patient's self-image.

The One-Stop Clinic and Integrated Care

Dr. Khout runs a comprehensive One-Stop Clinic designed for rapid, compassionate care, ensuring patients receive screening, diagnosis, and a detailed treatment plan, often within a single visit. This approach is underpinned by rigorous, multidisciplinary collaboration:

Multidisciplinary Team (MDT) Approach

Breast cancer care is complex and requires input from multiple specialists (oncologists, radiologists, pathologists, etc.). Dr. Khout plays a key role in chairing Multidisciplinary Team (MDT) meetings, ensuring every patient's case is reviewed by the entire panel of experts. This collaborative process guarantees that the treatment plan is not just effective, but highly personalized and supported by collective expertise.

Advanced Surgical Procedures

Dr. Khout specializes in surgical techniques focused on both eradication of the disease and reconstruction of the breast, ensuring the best long-term outcome.

Breast Conservation Surgery (Oncoplastic)

This is the standard approach whenever medically possible, allowing the surgeon to remove the tumor while using plastic surgery techniques to reshape the remaining breast tissue. This avoids the need for a full mastectomy and maintains the natural breast mound.

Oncoplastic Techniques Covered:

• Therapeutic Mammoplasty: Combining tumor removal with a simultaneous breast reduction or lift to restore volume and symmetry.
• Local Tissue Flaps: Using adjacent breast tissue to fill the defect created by the tumour removal, ensuring a smooth contour.

Surgical Management of the Cancer

The goal is to remove all cancerous tissue while staging the disease:

• Mastectomy: Full removal of the breast tissue, used when breast conservation is not possible or desired. This procedure is typically followed by immediate or delayed breast reconstruction.
• Sentinel Lymph Node Biopsy (SLNB): A crucial procedure where the first few lymph nodes (sentinel nodes) that drain the breast are identified and removed to check for cancer spread. This technique minimizes risk compared to full lymph node removal.
• Axillary Lymph Node Clearance: Removal of lymph nodes from the armpit area when cancer is confirmed in the sentinel nodes.

Specialized Reconstruction and Fat Grafting

To ensure lasting aesthetic results, Dr. Khout utilizes cutting-edge techniques:

• Lipofilling for Breast Reconstruction: This technique involves harvesting fat from other areas of the body (e.g., abdomen, thighs) via liposuction and injecting it into the breast to improve volume, contour, and quality of tissue following lumpectomy or reconstruction.
• Chest Wall Flaps for Breast Reconstruction: Utilising adjacent chest wall tissue to provide robust coverage and volume for complex reconstructions.

Why Choose Dr. Khout for Oncoplastic Care?

As a Consultant Breast Oncoplastic and Cosmetic Surgeon with dual certification, Dr. Khout possesses the unique expertise to perform the cancer surgery and the necessary reshaping in a single stage. This integrated approach ensures continuity of care, reduces the number of operations required, and is critical for delivering a structurally and aesthetically superior final result. Patients benefit from a surgeon who treats the disease with oncological precision and treats the patient with plastic surgical artistry.