The decision is made before surgery.
In my practice, every operation begins with diagnostics that objectively answer whether a single-stage procedure is appropriate. Not "what is customary" and not "what is convenient for the surgeon" - but what is safe for this specific patient.
Breast tissue density measurement shows tissue structure. Predictive software calculates individual risk. Only then do we discuss surgical strategy.
For one patient, the strategy is a single-stage operation. For another with dense tissue - a two-stage approach. It often takes longer, but statistically delivers a better result at one year. I choose the result at one year, not a quick operation today.
This is not my personal opinion - it is the conclusion of more than 17 years of research that formed the basis of my doctoral dissertation.
Before surgery, we measure breast tissue density using ultrasound imaging that shows tissue structure in colour. Dense, medium and soft tissue behave differently during healing.
Based on analysis of more than 5,000 cases, computer software calculates the probability of complications before surgery - not after - using the patient's individual parameters. The software is registered with Rospatent.
For patients with dense tissue, a dedicated preoperative marking method was developed to reduce the risk of edge necrosis and scarring complications. The method is protected by a Russian Federation patent.
This approach is not a surgeon's personal philosophy. It is the result of scientific work that formed the basis of a doctoral dissertation defended in 2025 at Sechenov First Moscow State Medical University.
The study included patient data observed from 2014 to 2023, including prospective follow-up and histological tissue analysis. Results were published in scientific journals, including publications indexed in Scopus.
Dissertation page at Sechenov University →Some complications after breast surgery can be anticipated in advance if individual tissue characteristics are assessed before the operation - rather than reacting to a problem afterwards.
This means your surgical strategy - single-stage or two-stage, standard or modified marking - is chosen with your specific tissue structure in mind, not a one-size-fits-all standard.
The information on this page is educational and describes the surgeon's scientific and methodological approach. It is not medical advice and does not replace an in-person consultation. Surgical strategy is decided individually at consultation after examination and workup.
Want to know which strategy suits your case?
