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Breast surgery encompasses much more than changing breast size. It also includes reconstruction following cancer treatment, improving everyday comfort, correcting asymmetry, and reshaping the breasts using a patient’s own tissues. In an interview published in the “Poland’s 50 Wealthiest Women” special edition of Wprost magazine, Professor Paweł Szychta discusses the possibilities of contemporary breast surgery and the importance of individualised surgical planning.
The interview, entitled “What Can Breast Surgery Offer Women Today?”, was conducted by Zofia Szkarłat. Its central theme is selecting a surgical approach that reflects each patient’s anatomy, treatment history, tissue quality, and expectations. Professor Szychta explains why understanding the patient’s needs and conducting a medical assessment should come first, followed by the choice of surgical technique.
Ten Years Since a Pioneering Reconstruction
The interview looks back at Poland’s first breast reconstruction using the breast-sharing technique, performed by Professor Paweł Szychta in 2016. This method uses a portion of tissue from the unaffected breast to reconstruct the breast following mastectomy.
As Professor Szychta explains, this approach is intended for a carefully selected group of patients. It is not a universal solution to all reconstructive needs, but it illustrates the importance of understanding a range of treatment options. Choosing a method requires consideration of the patient’s anatomy, the course of cancer treatment, the availability of their own tissues, and their expectations.
The discussion also highlights the importance of considering reconstruction within the overall treatment plan. Previous operations or radiotherapy may influence the options available for subsequent breast reconstruction.
The Patient’s Own Tissues as Part of the Surgical Plan
A significant part of the article focuses on breast autoaugmentation: using the patient’s own breast tissue during a breast lift or reduction. Professor Szychta describes how tissue can be repositioned and reshaped to improve breast projection and upper-pole fullness.
This approach may be considered for some patients seeking to improve breast shape without implants. Its suitability, however, depends on individual anatomical conditions. As Professor Szychta emphasises, autoaugmentation does not replace an implant in every situation. It is one of several available options, and its appropriateness must be assessed during the preoperative evaluation.
This reflects an important theme throughout the interview: contemporary breast surgery requires the thoughtful selection and combination of techniques, with an understanding of both their possibilities and their limitations.
When Surgery Aims to Improve Everyday Comfort
The interview also addresses the functional aspects of breast surgery. Professor Szychta notes that patients with significant breast hypertrophy may experience back and neck discomfort, skin irritation, or difficulties during physical activity.
In these circumstances, breast reduction may be considered primarily because of its potential relevance to daily functioning. Proportion and shape remain important, but physical symptoms and a desire for greater comfort may be the main reasons for seeking a consultation.
An Informed Decision and Appropriate Preparation
The interview also explores questions surrounding breast implants. Professor Szychta emphasises that a discussion about their use should include the reasons for the proposed choice, available alternatives, possible complications, and postoperative follow-up. Implant volume alone is not a sufficient basis for planning surgery.
Preoperative diagnostic assessment is equally important and should be tailored to the patient’s age, family history, previous medical conditions, and examination findings. As the article highlights, aesthetic breast surgery should take preventive healthcare into account, and any changes requiring investigation should be assessed before surgery is planned.
Professor Paweł Szychta’s words capture the approach presented throughout the interview:
“It is not about offering every patient the most complicated operation, but about having sufficiently broad experience and a range of techniques to choose the right one.”
We invite you to read the full interview in the “Poland’s 50 Wealthiest Women” special edition of Wprost magazine, issue 2/2026, on pages 246–247.