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Home  >  Breast Reduction  > Vabb

VABB Breast Removal

VABB, or Vacuum-Assisted Breast Biopsy, is a minimally invasive procedure used to remove small breast lesions through a tiny skin incision using a vacuum-assisted device guided by imaging. It can completely excise small benign breast lumps such as fibroadenomas while leaving almost no visible scar. Pristyn Care offers VABB performed by expert breast surgeons using ultrasound guidance, ensuring accurate, safe, and cosmetically superior removal of breast lesions.

VABB, or Vacuum-Assisted Breast Biopsy, is a minimally invasive procedure used to remove ... small breast lesions through a tiny skin incision using a vacuum-assisted device guided by imaging. It can completely excise small benign breast lumps such as fibroadenomas while leaving almost no visible scar. Pristyn Care offers VABB performed by expert breast surgeons using ultrasound guidance, ensuring accurate, safe, and cosmetically superior removal of breast lesions. Read More

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    Dr. Jonnalagadda Prashanta Varnika - Breast Reduction Treatment Specialist in Pristyn Care Zoi Hospital, ShivBagh, Ameerpet, Hyd, over 15+  Years Experience

    Dr. Jonnalagadda Prashan...

    MBBS, DNB-General Surgery & M.Ch-Plastic Surgery
    15+ Yrs.Exp.

    4.5/5

    15 Years Experience

    location icon Pristyn Care Zoi Hospital, ShivBagh, Ameerpet, Hyd
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    080-6542-3712
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    Dr. Soumya Sharad Agrawal - Breast Reduction Treatment Specialist in Manorama Ganj, Old Palasia, Indore, Madhya Pradesh 452003, over 13+  Years Experience

    Dr. Soumya Sharad Agrawa...

    MBBS, M.Ch-Plastic surgery
    13+ Yrs.Exp.

    4.5/5

    13 Years Experience

    location icon Manorama Ganj, Old Palasia, Indore, Madhya Pradesh 452003
    Call Us
    080-6542-3720
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    Dr. Sasikumar T - Breast Reduction Treatment Specialist in 1st floor, No Z/281, 5th Ave, beside St Lukes church, Y Block, Anna Nagar, Chennai, Greater Chennai, Tamil Nadu 600040, over 24+  Years Experience

    Dr. Sasikumar T

    MBBS, MS-GENERAL SURGERY, DNB-PLASTIC SURGERY
    24+ Yrs.Exp.

    4.5/5

    24 Years Experience

    location icon 1st floor, No Z/281, 5th Ave, beside St Lukes church, Y Block, Anna Nagar, Chennai, Greater Chennai, Tamil Nadu 600040
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    080-6541-7851
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    Dr. Kartik Adhitya - Breast Reduction Treatment Specialist in 76, 17th Cross Rd, Malleshwaram, Bengaluru, Karnataka 560055, over 16+  Years Experience

    Dr. Kartik Adhitya

    MBBS, MS - General Surgery, M. Ch - Plastic Surgery
    16+ Yrs.Exp.

    4.5/5

    16 Years Experience

    location icon 76, 17th Cross Rd, Malleshwaram, Bengaluru, Karnataka 560055
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    080-6541-7893

Overview

The VABB procedure uses a rotating cutting probe inserted through a 3 to 4 mm incision under ultrasound guidance. The vacuum device aspirates tissue samples or the entire lesion through multiple passes of the probe without making a large cut. It is typically performed under local anesthesia as a day-care procedure and offers significant cosmetic advantage over open surgical excision for accessible breast lumps.

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Causes

Conditions that may require VABB procedure include:

  • Benign breast fibroadenoma causing discomfort or cosmetic concern
  • Breast cysts or complex cysts that need complete excision
  • Papilloma or intraductal lesions detected on imaging or nipple discharge
  • Atypical ductal hyperplasia requiring complete sampling for diagnosis
  • Breast microcalcifications requiring tissue sampling for pathology
  • Small breast masses of uncertain nature requiring definitive diagnosis

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Symptoms

Symptoms that may prompt a VABB procedure include:

  • Palpable lump in the breast detected by self-examination
  • Breast lump detected on mammogram or ultrasound screening
  • Nipple discharge that may be clear, yellow, or blood-stained
  • Breast pain or tenderness localized to a specific area
  • Anxiety about an uncertain breast finding that requires biopsy

Types of Breast Lesions

Breast lesions amenable to VABB include fibroadenomas, which are the most common benign solid breast tumors in young women. Breast cysts are fluid-filled sacs that may be simple or complex. Intraductal papillomas are small wart-like growths in the milk ducts. Atypical ductal hyperplasia is a precancerous condition requiring complete removal. Microcalcifications may indicate early cancer and require tissue sampling.

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When is VABB Recommended?

VABB is recommended for benign breast lesions less than 3 cm in diameter that are visible on ultrasound, for women who prefer a cosmetically superior alternative to open surgery, for multiple small lesions requiring removal in a single session, and for diagnostic excision of borderline lesions. It is not suitable for lesions near the nipple, chest wall, or implants where ultrasound guidance is difficult.

Diagnosis

Evaluation before VABB includes:

  • Clinical breast examination to characterize the lump
  • Ultrasound of the breast to visualize and measure the lesion
  • Mammography to assess microcalcifications and overall breast status
  • MRI of the breast for complex or multiple lesions in high-risk patients
  • Previous core needle biopsy results to determine VABB suitability

Imaging confirmation and pathology review guide the decision to proceed with VABB.

VABB Procedure

VABB is performed under local anesthesia with ultrasound guidance. The radiologist or surgeon makes a tiny skin incision of 3 to 4 mm and inserts the vacuum-assisted probe. The probe uses rotating cutting action and vacuum suction to remove the lesion in multiple core samples. The procedure takes 30 to 60 minutes and results in near-complete lesion excision with minimal tissue disruption.

VABB Procedure Steps

The VABB procedure involves:

  • Administering local anesthesia to the breast over the lesion
  • Making a tiny 3 to 4 mm skin incision for probe insertion
  • Inserting the vacuum-assisted biopsy probe under ultrasound guidance
  • Rotating the cutting chamber to harvest multiple tissue cores
  • Applying vacuum to aspirate tissue through the probe without repositioning
  • Repeating passes until the lesion is completely removed
  • Placing a tiny titanium marker clip to mark the biopsy site
  • Applying pressure and closing the incision with a steri-strip

After the Surgery

Recovery after VABB is very quick. Most patients go home within 2 hours after the procedure. Mild bruising or swelling at the biopsy site may persist for 1 to 2 weeks. Strenuous activity and heavy lifting should be avoided for 1 week. A follow-up ultrasound is performed after 4 to 6 weeks to confirm complete lesion removal and ensure proper healing.

Complications of VABB Procedure

Potential complications of VABB include:

  • Bruising and mild swelling at the biopsy site
  • Hematoma or blood collection in the breast tissue
  • Infection at the small incision site
  • Incomplete lesion removal requiring repeat procedure or open surgery
  • Rare damage to surrounding breast tissue
  • Adverse reaction to local anesthesia

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FAQs About VABB Procedure

Is VABB painful?

VABB is performed under local anesthesia and is generally well tolerated. Most patients experience minimal discomfort during the procedure. Mild bruising or swelling at the site may occur afterward and resolves within a few days.

How long does a VABB procedure take?

A VABB procedure typically takes 30 to 60 minutes depending on the size and location of the breast lesion. It is performed as a day-care procedure and patients are usually discharged within 2 hours after monitoring.

Can VABB remove breast cancer?

VABB is primarily a diagnostic technique but can remove small benign lesions. For confirmed breast cancer, VABB provides tissue diagnosis while definitive surgery is needed for complete treatment.

Is there a scar after VABB procedure?

VABB leaves a tiny 3 to 4 mm incision with minimal scarring. The cosmetic result is significantly better than open surgery, making it a preferred option for accessible breast lesions.

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Medically Reviewed By
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Dr. Jonnalagadda Prashanta Varnika
MBBS, DNB-General Surgery & M.Ch-Plastic Surgery
15+ Years Experience Overall
Last Updated : August 24, 2026

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