Chennai-based Endovascular & IR Specialist, Dr. Ravindran Ramalingam offers minimally invasive, scar-free treatments ensuring faster recovery and minimal pain.

Endovascular &
IR Specialist

Center Address
Gleneagles Health City, Perumbakkam, Chennai, TN

Dr. Ravindran Ramalingam is a Chennai-based Endovascular & Interventional Radiology (IR) Specialist with over a decade of experience, delivering minimally invasive, scar-free treatments for faster recovery, less pain, and shorter hospital stays.

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Breast Lumbs

Vacuum Assisted Breast Biopsy for Breast Fibroadenomas

Scarless, Non-Surgical Option for Breast Lumps

Being told you have a breast lump can be frightening. The good news is that many breast lumps are benign (non-cancerous), and one of the most common causes is breast fibroadenoma. Vacuum Assisted Breast Biopsy (VABB) is a safe, minimally invasive procedure that allows accurate diagnosis—and in many cases complete removal of fibroadenomas—without surgery.

👉 Found a breast lump and worried about surgery?

What Is Vacuum Assisted Breast Biopsy for Breast Fibroadenomas?

Vacuum Assisted Breast Biopsy (VABB) is an image-guided, minimally invasive procedure used to sample or remove breast lumps using a special needle connected to a gentle vacuum device.

For breast fibroadenomas, VABB can:

  • Confirm the diagnosis accurately
  • Remove the lump completely in many cases
  • Avoid open surgery and stitches
  • Leave minimal or no visible scar
  • No open surgery

  • No hospital admission

  • Faster recovery

  • Excellent cosmetic outcome

What Are Breast Fibroadenomas?

Breast fibroadenomas are benign (non-cancerous) breast tumors, commonly seen in young women.

They usually:

  • Feel smooth, firm, and movable
  • Are painless
  • Grow slowly
  • Are not cancer

Fibroadenomas may be:

  • Detected on self-examination
  • Found during ultrasound or mammography
  • Monitored or removed if growing or causing anxiety

How Is Vacuum Assisted Breast Biopsy Done?

VABB is performed by a trained specialist under ultrasound or mammography guidance.

Step-by-step procedure:

  • Local anesthesia is given to numb the area
  • A small skin nick (2–3 mm) is made
  • A special biopsy needle is inserted into the lump
  • Vacuum suction gently removes tissue samples
  • The lump may be completely removed if suitable
  • Pressure is applied and a small dressing is placed

What Are the Risks?

Vacuum assisted breast biopsy is very safe, and complications are uncommon.
Possible risks with approximate incidence include:

  • Bruising or mild swelling – common (20–30%)
  • Mild pain or tenderness – common (15–25%)
  • Small hematoma (blood collection) – uncommon (5–10%)
  • Skin infection – rare (<1%)
  • Significant bleeding – very rare (<1%)
  • Skin indentation (temporary) – uncommon (<5%)

What Are the Alternatives?

Your treatment options depend on:

  • Your overall health and risk factors
  • The size, location, and appearance of the spot (lesion or nodule)
  • Whether there are signs suggesting a serious condition

Your doctor will guide you in choosing the most appropriate option.

Alternative 1: Watchful Waiting (Active Surveillance)

  • Regular follow-up with imaging tests such as CT scans or ultrasounds
  • Used to monitor whether the spot grows, changes, or remains stable
  • Avoids immediate treatment or procedures
  • Main drawback: if the spot turns out to be serious, treatment may be delayed

Alternative 2: Surgical Removal

  • Involves cutting out the spot through surgery
  • Considered a more invasive option
  • Carries higher risks such as pain, infection, and complications
  • Requires a longer recovery period
  • Surgeons often prefer to have a confirmed diagnosis before proceeding with surgery

Choosing the Right Approach

A careful evaluation helps balance the benefits of early treatment against the risks of unnecessary surgery, ensuring the safest and most effective plan for each patient.

📌 Compared to surgery, VABB offers diagnosis and treatment with less pain, no scar, and faster recovery.

What Happens After Your Procedure?

Recovery is usually quick and smooth.

After VABB:

  • Mild soreness may last 1–2 days
  • You can resume daily activities the same or next day
  • Avoid heavy exercise for a few days
  • Dressing can be removed as advised
  • Final biopsy report is usually available in a few days

Most patients return to normal routine within 24–48 hours.

Frequently Asked Questions (FAQs) – Vacuum Assisted Breast Biopsy for Fibroadenomas

Vacuum assisted breast biopsy (VABB) is a minimally invasive, image-guided procedure that uses a special needle and gentle suction to take tissue samples from a breast lump. In many cases, it can completely remove benign lumps like fibroadenomas without surgery.

Yes. VABB is commonly used to diagnose and remove breast fibroadenomas, especially small to medium-sized lumps, avoiding open surgery.

Yes. VABB is a safe and well-established procedure with a very low complication rate when performed by experienced specialists.

The procedure is done under local anesthesia, so pain is minimal. You may feel mild pressure or discomfort, which settles quickly.

The skin opening is very small (about 2–3 mm). In most patients, there is little to no visible scar, making it cosmetically superior to surgery.

Yes. Many fibroadenomas can be completely removed in one sitting using VABB, eliminating the need for surgical excision.

The procedure usually takes 20–45 minutes and is performed as a day-care procedure.

No. Stitches are usually not required, and hospital admission is not needed. You can go home the same day.

Recovery is quick. Most patients:

  • Resume daily activities within 24–48 hours
  • Experience only mild soreness or bruising
  • Return to normal routine the next day

Risks are uncommon and usually mild, such as temporary bruising or tenderness. Serious complications like infection or significant bleeding are very rare (<1%).

Biopsy results are usually available within a few days, depending on the laboratory.

For suitable fibroadenomas, VABB offers:

  • No open surgery
  • Better cosmetic outcome
  • Faster recovery
  • Less pain
    It is often preferred over surgery when appropriate.

Yes. VABB is available in specialized breast imaging and interventional radiology centers across India.

You should consider VABB if:

  • You have a confirmed or suspected fibroadenoma
  • The lump is increasing in size
  • You want removal without surgery
  • You are anxious about a breast lump

Why Choose Vacuum Assisted Breast Biopsy?

  • Minimally invasive procedure

  • Avoids open breast surgery

  • Accurate diagnosis

  • Excellent cosmetic result

  • Faster recovery

  • Same-day discharge

Take the Next Step — Without Surgery

If you have a breast lump and want accurate diagnosis without scars or surgery.

Vacuum Assisted Breast Biopsy may be the right choice for you.