You can book an appointment online 24/7 or call our team if you have any queries during our opening hours.
Initial consultation with Surgeon - £350
Mammogram - £275
USG bilateral - £345
USG guided core biopsy - £394
Histology - £387
Breast Implant exchange - from £7,500
Breast Reduction from - £8,000
Yes, we accept not only self pay but we also accept all major insurance companies – all are fully fee assured with no extra charges applicable. We accept from the following Insurers (contact us to check if your is not listed):
– BUPA
– Alliance Health Group
– Vitality
– Axa PPP Healthcare
– Cigna
– WPA Healthcare
– Healix
– Freedom Health
– Allianz Worldwide
– Simply Health
– Aviva
This depends on what the nature of the issue is. It can include methods such as:
Biopsy - is the removal of a small sample of breast tissue to test for the presence of cancer cells.
MRI Scan - an imaging test that uses a strong magnetic field and radio waves to create detailed images of the breast tissue.
Ultrasound - a test that uses high-frequency sound waves to create breast tissue images and detect abnormalities.
Mammogram - a low-dose X-ray that detects breast tumours before they can be felt. It is the most effective tool for early detection of breast cancer. We recommend it for women over 50 and those at higher risk.
Cllinical breast exam is a a physical exam performed by a healthcare provider to feel for lumps or other changes in the breast tissue.
The most common surgical treatment for breast cancer is a lumpectomy or mastectomy. A lumpectomy is a type of breast conserving surgery which removes the cancerous tumour and some surrounding tissue, while a mastectomy removes the entire breast. In some cases, we may also remove lymph nodes in the armpit.
The treatments recommended will depend on the nature of the issue but can include:
Chemotherapy – specialist drugs used to kill cancer cells throughout the body. We may use it before or after surgery, or in cases where the cancer has spread to other parts of the body.
Radiation therapy - high-energy rays to kill cancer cells. We often use it after surgery to kill any remaining cancer cells.
Hormone therapy – used to treat breast cancers that are hormone receptor-positive. These cancers use hormones such as oestrogen and progesterone to grow. Hormone therapy may include medications that block the body’s production of these hormones, or medications that prevent the hormones from attaching to cancer cells.
Targeted therapy - treatment that specifically targets cancer cells. We may use it in cases where the cancer has a specific genetic mutation or where other treatments have not been effective.
Intraoperative radiation therapy (IORT) - This is a newer technique that involves delivering a single dose of radiation therapy directly to the tumour site during surgery immediately after the tumour is removed. This can reduce the overall treatment time for patients and may be more convenient than traditional radiation therapy, which typically requires daily treatments over several weeks.
Magnetic seed localisation – this is also a modern technique that can help guide the surgeon to the tumour’s exact location during surgery. A tiny magnetic seed is inserted into the tumour before surgery, which can be detected using a handheld device during the procedure. Magnetic seed localisation can improve surgical accuracy and reduce the need for multiple surgeries.
Intraoperative Imaging - This involves using specialised imaging techniques during surgery to visualise the tumour and surrounding tissue better. Intraoperative imaging can help ensure that all the cancerous tissue is removed during surgery, improving patient outcomes.
Axillary node clearance – this is a surgical procedure involving removing the lymph nodes (also known as the lymph glands) from the armpit. It is used in the prognosis and management of invasive breast cancer, as well as to determine post-operative therapy, and is an important element of breast cancer treatment. The procedure is performed under general anaesthetic and typically requires a hospital stay of between four and seven days.
Sentinel node biopsy - used to establish whether breast cancer has spread beyond a primary tumour into the body’s lymphatic system. It is a procedure that requires the injection of a tracer agent into the breast tissue, which enables the surgeon to identify the sentinel nodes during surgery. The sentinel nodes are then removed for clinical evaluation. If they present as free from cancer, it will typically indicate that the tumour has not spread, and the removal of further lymph nodes will not be required. If the sentinel nodes reveal the presence of cancer, further lymph nodes will be removed to determine the spread of the tumour.
Oncoplastic breast surgery (breast conservation surgery) - combines the aesthetic techniques of plastic surgery with conventional cancer surgery to treat breast tumours that a straightforward mastectomy would have previously managed. It allows for wide excision of a tumour and its outer margins while rebuilding the breast to prevent unsightly scarring and deformation. Oncoplastic breast surgery is typically performed on breasts with adequate volume and on lumpectomies no larger than one quadrant of the area of the breast.
Risk-reducing breast surgery - is recommended when it is deemed there is an abnormally increased risk of a woman developing breast cancer. The operation entails the complete removal of both breasts, as well as when indicated, the skin and nipples. The lymph nodes and underlying breast muscles are left intact. Risk-reducing mastectomy involves a major surgical procedure and is performed using a general anaesthetic.
Therapeutic mammoplasty - a surgical technique that combines the removal of a breast tumour (lumpectomy) with an element of breast reduction while, in most cases, avoiding a total mastectomy. As the procedure results in reduced breast size, it is most suitable for women with larger breasts. The advantage of a therapeutic mammoplasty is that it enables the surgeon to remove larger tumours than conventional surgery while leaving a smaller, well-shaped breast in place.
Breast conservation surgery (Oncoplastic surgery or lumpectomy) removes cancerous tissue while preserving healthy breast tissue. By using oncoplastic surgery techniques such as round block mammoplasty, therapeutic mammoplasty, chest wall perforator flaps, and fat grafting, the goal is to achieve optimal cancer removal while preserving as much of the breast tissue as possible and, therefore, trying to maintain the breast’s natural appearance.
A One Stop Breast Clinic offers a comprehensive, same-day service for breast health concerns. Patients can receive clinical assessments, diagnostic tests, and results, often within a single visit, providing rapid answers and peace of mind.
Anyone with breast symptoms, such as lumps, pain, or nipple discharge, or those in need of routine screening, can benefit from a One Stop Breast Clinic. This service is ideal for those seeking prompt evaluation and results for breast health concerns.
During a One Stop Breast Clinic visit, you will meet with a breast specialist for an examination. Depending on your symptoms, diagnostic tests like mammograms, ultrasounds, or biopsies may be performed.
One of the primary benefits of a One Stop Breast Clinic is same-day results. In most cases, initial findings from diagnostic tests like mammograms and ultrasounds are available within a few hours, allowing for immediate discussion with your specialist.
A One Stop Breast Clinic offers a range of diagnostic tests including mammograms, ultrasounds, and biopsies, to evaluate breast health concerns thoroughly. These tests help identify issues early and provide the foundation for an effective treatment plan if needed.
While the One Stop Breast Clinic focuses on same-day diagnosis, minor procedures, like biopsies, can often be performed during your appointment. For more complex treatments, your specialist will discuss options and guide you on next steps.
Appointments vary depending on the tests needed, but a One Stop Breast Clinic visit typically lasts a few hours, allowing time for consultations, imaging, and any minor procedures. Your clinic will advise on what to expect for your specific appointment.
We will require information relating to any breast health history if applicable together with a list of your current medications. If any other information is required we will advise you in advance of your appointment.
Many insurance providers cover visits to a One Stop Breast Clinic especially if the visit is medically necessary. Please check your own individual policy coverage.
If your results indicate a need for further treatment, your specialist will discuss options with you and arrange follow-up care as needed. Our specialists will guide you through the next steps, ensuring continuity of care.
A One Stop Breast Clinic offers the advantage of same-day results and fast diagnosis which helps reduce anxiety and allowing for quicker access to treatment if needed – it is an efficient, comprehensive approach to breast health care.
Breast screening is often a mammogram but can also involve ultrasound, MRI scans & physical breast examinations. These screening methods are used to detect early signs of breast cancer before symptoms appear which can improve chances of successful treatment & increased survival rates.
For women aged 50 to 70, it’s generally recommended to have a mammogram every three years. However, if you have a higher risk of breast cancer due to family history or other factors, your doctor may advise more frequent screenings.
During a mammogram, your breast is placed on an x-ray machine and gently compressed to capture detailed images. The process takes about 15 minutes and is generally quick and straightforward.
In the UK, women are usually invited for their first mammogram between ages 50 and 53. However, women with a family history of breast cancer or other risk factors may start screening earlier, usually in their 40s.
Breast screening is generally not painful, but some women may feel mild discomfort due to the compression of the breast during the mammogram. Any discomfort is brief, and the procedure is typically well-tolerated.
Mammograms are very effective at detecting early breast cancer, but no test is 100% accurate. Sometimes, small cancers or changes might be missed, or you may be called back for further tests if something unusual is found.
If you notice any unusual changes in your breasts, such as lumps, pain, or discharge, contact your GP immediately, even if your last screening was normal. Regular self-exams are important to complement routine screenings.
While breast screening is safe, it does involve a small dose of radiation. The benefits of early cancer detection usually outweigh the risks, but your doctor can discuss this further if you have concerns.
Yes, you can still have a mammogram if you have breast implants. You should inform the radiographer, as special techniques may be needed to ensure accurate images of the breast tissue around the implants.
Typically, results are sent by post within two weeks of your screening. If further tests are needed, you’ll be contacted sooner to arrange a follow-up appointment.
Lymph node surgery is a procedure that removes lymph nodes to check whether breast cancer has spread beyond the breast. It helps determine how advanced the cancer is, which guides your treatment plan. This is often done through a Sentinel Lymph Node Biopsy or Axillary Node Clearance.
A sentinel lymph node biopsy involves removing the first lymph node(s) that breast cancer is most likely to spread to. It is a minimally invasive procedure used to determine if cancer has reached the lymph nodes. If no cancer is found, further surgery may not be needed.
If cancer is detected in the sentinel lymph nodes, additional surgery, such as Axillary Node Clearance, may be recommended to remove more lymph nodes. Your medical team will also discuss further treatments like chemotherapy or radiotherapy to address the spread of cancer.
Axillary node clearance involves removing multiple lymph nodes from the underarm area if cancer has been detected in the sentinel nodes. This procedure helps prevent the cancer from spreading and allows for a more comprehensive assessment of its extent
Most patients experience mild discomfort after lymph node surgery. Any pain or discomfort is typically manageable with prescribed pain relief. Your surgeon will provide detailed aftercare instructions to help manage any discomfort during recovery.
Recovery from lymph node surgery varies depending on the type of surgery. Most people can return to light activities within a few days, but full recovery may take several weeks. Your surgeon will advise on activity restrictions and follow-up care to ensure proper healing.
Lymph node surgery carries some risks, including infection, bleeding, and lymphedema (swelling of the arm due to fluid build-up). However, these risks are minimised with proper surgical techniques and aftercare.
Lymphedema is swelling caused by the removal of lymph nodes, leading to fluid build-up in the arm. It can be managed with physical therapy, compression garments, and exercises to encourage drainage and reduce swelling.
If cancer is found in your lymph nodes, your treatment plan may include chemotherapy or radiotherapy to ensure the cancer is fully treated. Your oncologist will discuss the best approach based on the extent of the cancer and your overall health.
Breast reconstruction is a surgical procedure to rebuild the shape and look of the breast following a mastectomy (breast removal) or other breast cancer treatments. The surgery can help restore symmetry and achieve a natural appearance.
Breast reconstruction can be performed at the same time as a mastectomy (immediate reconstruction) or at a later date (delayed reconstruction), depending on individual health factors, cancer treatment plans, and patient preference.
Common breast reconstruction options include implant-based reconstruction, which uses silicone or saline implants, and autologous tissue reconstruction, where tissue from another part of the body, such as the abdomen or back, is used to create the new breast shape. The choice depends on your anatomy, treatment plan, and personal preference.
The duration of breast reconstruction surgery varies based on the technique used. Implant-based reconstruction generally takes a few hours, while autologous reconstruction (using your own tissue) may take longer. Your surgeon will provide a time estimate based on your specific procedure.
Recovery times vary by procedure type. Most patients can resume light activities within a few weeks, but full recovery may take several months, especially for autologous reconstruction. Your surgeon will provide detailed aftercare instructions to support a smooth recovery.
Reconstructed breasts may have reduced or altered sensation, as the nerves that control sensation are often affected by mastectomy and reconstruction. Some sensation may return over time, but it may not be the same as before surgery.
As with any surgery, breast reconstruction carries potential risks, including infection, bleeding, scarring, and issues with implant integrity if implants are used. Additionally, autologous reconstruction may involve risks associated with tissue transfer. Your surgeon will discuss these with you in detail.
While breast reconstruction aims to create a natural look, reconstructed breasts may not look or feel identical to natural breasts. Factors like shape, size, and sensation can differ. However, advanced techniques can achieve highly natural results.
Breast implants used in reconstruction do not last a lifetime and may need to be replaced after 10-15 years or in case of complications like rupture or capsular contracture. Your surgeon will discuss monitoring and replacement options with you.
In many cases, breast reconstruction after mastectomy or cancer treatment is covered by insurance. It’s best to check with your insurance provider to understand the specifics of your coverage for this procedure.
Yes, reconstruction is possible after radiation therapy, but it may influence the timing and choice of reconstruction method. Radiation can affect skin and tissue quality, which may require additional planning with your surgeon.
During your consultation, your surgeon will discuss your medical history, personal preferences, and reconstructive goals. They’ll explain the options available, answer questions, and develop a customised plan to meet your needs.
Genetic risk reduction helps individuals with a family history of breast cancer or inherited genetic mutations (like BRCA1 and BRCA2) manage and lower their breast cancer risk. It includes options like enhanced screening, preventive surgeries, and personalised lifestyle advice to protect against breast cancer.
Genetic risk reduction is ideal for those with a strong family history of breast cancer, known genetic mutations such as BRCA, or specific risk factors. A consultation with a genetic counselor can help determine if you’re at high risk and need these services.
Mutations in BRCA1 and BRCA2 genes can significantly raise the risk of breast cancer and ovarian cancer by impairing the body’s DNA repair system, leading to higher chances of cancer development. Genetic risk reduction strategies can help manage these risks.
Risk reduction options include frequent screenings, preventive medications, and surgeries like prophylactic mastectomy. The best choice depends on your genetic test results, family history, and individual risk factors.
A prophylactic mastectomy involves removing one or both breasts to lower the risk of breast cancer, especially for those with BRCA mutations. While it can significantly reduce the risk, it does not eliminate it entirely, making regular monitoring still important.
Most insurance providers cover genetic testing and preventive treatments, like risk-reducing surgery, for individuals with high breast cancer risk. Check with your insurance company to understand your coverage for these genetic risk reduction services.
Genetic counseling involves reviewing your family history, understanding genetic testing, and discussing the best preventive steps if you’re high-risk. Counselors guide you through your options and the benefits and limitations of each.
Genetic testing typically involves a blood or saliva sample to detect mutations in genes like BRCA1 and BRCA2, which increase breast cancer risk. Test results can guide your doctor in creating a personalised risk reduction plan.
Yes, making lifestyle changes like maintaining a healthy weight, reducing alcohol, exercising, and avoiding smoking can lower breast cancer risk. These changes work alongside genetic risk reduction strategies to improve your overall health.
People at high risk for breast cancer may need annual screenings, like mammograms or MRIs, starting at a younger age. Your doctor will customise a screening schedule to monitor for early signs of cancer.
Preventive mastectomy has potential risks, including infection, bleeding, and physical or emotional changes. It’s a personal decision, and your healthcare team will guide you through all considerations.
High-risk individuals can access genetic counseling, mental health resources, and support groups to help manage the physical and emotional aspects of risk reduction. Support networks provide valuable guidance and connect you with others in similar situations.
Breast pain, or mastalgia, is common and is usually not related to breast cancer. It can be caused by hormonal changes, infections, muscle strain, or non-cancerous conditions. However, if you experience persistent or severe pain, it’s important to consult a specialist.
Breast pain can be cyclic (linked to hormonal changes during the menstrual cycle) or non-cyclic (caused by infections, injuries, or other factors). Understanding the type of pain can help in determining the cause and appropriate treatment.
Nipple discharge can result from hormonal changes, infections, or benign growths in the breast ducts. It’s often harmless, but if the discharge is bloody or occurs without squeezing, it’s recommended to seek medical advice.
While most nipple discharge is benign, you should seek medical attention if the discharge is spontaneous, bloody, or only affects one breast. A thorough evaluation can help rule out any serious issues.
Diagnosing breast pain involves a clinical examination, and in some cases, imaging tests like mammograms or ultrasounds to check for underlying causes. Your specialist will recommend the best approach based on your symptoms.
Nipple discharge evaluation includes a clinical examination and, if necessary, imaging tests to examine the breast ducts. In some cases, a sample of the discharge may be taken for analysis to identify any infection or other causes.
Treatment for breast pain depends on the cause. For cyclic pain, hormonal therapies and lifestyle adjustments can help. Non-cyclic pain may be treated with antibiotics if an infection is present or other medical interventions if needed.
Treatment options depend on the cause of the discharge. Infections are typically treated with antibiotics, while non-infectious discharge may be monitored or treated with minimally invasive procedures to ensure comfort and health.
Yes, lifestyle changes, such as wearing a supportive bra, reducing caffeine, and maintaining a balanced diet, can help manage breast pain, especially if it’s related to hormonal cycles.
Surgery may be considered if there are persistent symptoms, such as recurrent infections or problematic tissue causing nipple discharge. In these cases, a minor procedure can help alleviate discomfort and prevent further issues.
Yes, follow-up care is essential to monitor symptoms and ensure effective treatment and enable monitoring and management of any new or recurring symptoms should they appear.
While not all cases are preventable, maintaining a healthy lifestyle, managing stress, and staying aware of any changes in your breast health can help. Regular screenings and consultations are recommended to monitor breast health over time.
Lymph node testing helps determine whether breast cancer has spread beyond the breast, particularly to the lymph nodes in the underarm area. This information is crucial for staging cancer and planning effective treatment.
A sentinel lymph node biopsy is a minimally invasive procedure that removes the first lymph node(s) likely to be affected by breast cancer. If no cancer is detected, further lymph node surgery may not be necessary, helping to minimise treatment.
A sentinel lymph node biopsy may be recommended if there is a risk of breast cancer spread, particularly for patients with multiple breast tumours, previous breast cancer treatments, or certain high-risk conditions such as DCIS with mastectomy.
If cancer is detected in the sentinel lymph nodes, further procedures, such as axillary node clearance, may be recommended to remove additional lymph nodes and prevent further spread. Additional treatments, like chemotherapy or radiotherapy, may also be discussed.
Axillary lymph node clearance is a surgery that removes multiple lymph nodes from the underarm to prevent the spread of breast cancer if cancerous cells are found in the sentinel nodes.
Most patients experience mild discomfort after lymph node surgery, which is manageable with prescribed pain relief. Your healthcare team will provide detailed aftercare to ensure a smooth recovery.
Recovery times vary, but most people can resume light activities within a few days. Full recovery may take a few weeks, and your surgeon will provide aftercare instructions and guidance on activities to support your healing.
Lymph node surgery carries some risks, including infection, bleeding, and lymphedema (arm swelling due to fluid build-up). However, these risks are minimised through careful surgical techniques and comprehensive post-operative care.
Lymphedema is a swelling of the arm due to lymph node removal, which disrupts fluid drainage. It can be managed with physical therapy, compression garments, and specific exercises to reduce swelling and improve mobility.
If cancer is found in the lymph nodes, additional treatments, such as chemotherapy or radiotherapy, may be recommended to prevent recurrence and manage cancer spread. Your medical team will discuss the best options based on your specific case.
Results from lymph node testing are typically available within one to two weeks after surgery. Your doctor will discuss the findings with you and explain the next steps in your treatment plan.
Lymph node surgery provides vital information about cancer’s progression and guides the overall treatment plan. Knowing whether cancer has spread to the lymph nodes helps tailor treatments and improves outcomes.
Common issues with breast implants include pain, leakage or rupture, capsular contracture (hardening around the implant), and implant shifting. These complications may require medical attention to ensure comfort and health.
Breast implant pain can result from capsular contracture, implant rupture, nerve irritation, or infection. If you experience persistent pain, it’s essential to consult a specialist to diagnose the cause and determine the appropriate treatment.
Capsular contracture occurs when scar tissue tightens around the implant, causing discomfort or an unnatural appearance. Treatment options range from massage and medication to surgery to remove or replace the implant and scar tissue.
If you suspect a leak or rupture, consult a specialist immediately. Imaging tests like MRI or ultrasound can confirm the issue, and treatment may involve removing or replacing the implant to prevent further complications.
Breast implant removal involves surgery to take out the implant, often along with the surrounding scar tissue (capsule). Depending on your goals, you may choose to remove the implants entirely or replace them with new ones.
Signs of an implant rupture include changes in breast shape, lumps, pain, or swelling. With silicone implants, symptoms may not be noticeable immediately, so regular monitoring is recommended to detect any issues early.
Breast implants are not lifetime devices and may need replacement after 10-15 years or sooner if complications occur. Regular check-ups with your surgeon can help monitor implant integrity and determine when replacement may be needed.
Implant infections are typically treated with antibiotics, but in severe cases, the implant may need to be temporarily removed until the infection clears. Prompt treatment is essential to prevent further complications.
While many women experience no problems, some breast implant issues, like rupture or infection, can lead to health concerns. Monitoring symptoms and regular consultations with a specialist can help prevent complications.
Recovery varies by procedure, but most people can return to light activities within a few days. Full recovery may take several weeks, and your surgeon will provide personalised aftercare guidance to support healing.
Insurance coverage for implant removal due to complications varies. Some policies may cover removal if it’s medically necessary, such as for rupture, infection, or capsular contracture. It’s best to check with your provider.
While not all complications are preventable, choosing a qualified surgeon, following aftercare instructions, and attending regular follow-up appointments can help reduce risks. Monitoring for any unusual symptoms is also essential for long-term implant health.
At The Harley Street Breast Clinic, we understand how important it is to get the right care when it comes to your breast health. Whether you’re seeking a routine screening, consultation for a concern, or expert treatment, our team is here to provide fast access to private, personalised care.
Book your appointment today and let us support you through every step of your journey with expertise, compassion, and care tailored to your needs.
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