Dr. Fred Azimi

Breast Surgery

My training and experience in oncoplastic breast surgery allow me to give you surgical options. The goal of these options is to maintain the natural appearance of the breast and optimize cancer treatment at the same time.


I believe that being able to offer the latest reconstructive techniques is important in restoring a sense of wellbeing and femininity for my patients. The most important thing that I want to provide you is the power to make your own decision.

– Fred Azimi –

There are many treatment options available

The majority of breast cancer patients have an excellent prognosis and the outcomes are improving every day. These improvements also make the treatments that we deliver more complicated. Surgery is only one aspect of the treatment of breast cancer, others include radiotherapy, hormonal therapy and chemotherapy.

We will discuss all aspects of your breast cancer treatment and decide the timing for what you require. My goal is to provide you with the most up to date treatment that is the best for you as an individual.

Many tumours in the breast are benign and when this occurs, doctors will usually leave it rather than remove it. While such tumours are usually not aggressive toward surrounding tissue, occasionally they may continue to grow, pressing on organs and causing pain or other problems. In these situations, the tumour is removed, allowing pain or complications to subside. However so-called malignant tumours are cancerous and aggressive because they can invade and damage surrounding tissue. When a tumour is suspected to be malignant, a biopsy will be performed to determine its aggressiveness. Breast cancer surgery involves the surgical removal of a tumour and a portion of the surrounding normal tissue to prevent its spread to the other parts of the body. Metastatic cancer is when cancer cells of a malignant tumour spread to other body parts,and form a secondary tumour.

This type of surgery aims to conserve breast tissue by removing only the cancerous tissue, so that the breast looks normal even after the operation. It is usually followed by a moderate-dose radiation therapy. The surgery aims at providing a low recurrence of cancer, and when combined with radiation therapy, survival is equivalent to that of mastectomy (complete removal of the breast tissue).

This type of surgery merges cancer surgery and plastic surgery, helping to address tissue defects and improve the look and feel of the breast. Over the last few decades oncoplastic techniques have allowed surgeons to remove larger areas of the breast while obtaining a good aesthetic result. Oncoplastic surgery can involve moving breast tissue from one region of the breast to the other or using breast reduction patterns to completely reshape the breast. Some large excisions require recruitment of tissues from areas surrounding the breast to restore the shape of the breast. This may include the use of tissue with its own blood supply called a perforator flap.

If you have a mastectomy, there are many options for breast reconstruction surgery, to recreate the shape of the breast. It can be done at the same time as your surgery or as a separate procedure at a later time.

The options for reconstruction include the use of implants or the use of your own tissue from another part of your body. The decision to use breast implants or your own tissue for breast reconstruction depends on what is appropriate for your body, your cancer treatments and your personal preferences.