Understanding breast health: insights from Miss Joanna Franks, Clinical Lead for Breast

October marks Breast Cancer Awareness Month, a time to focus on breast health, early detection, and reassurance. While awareness of breast cancer is vital, not every change is a cause for concern.

At 18 Week Support, we work alongside our NHS partners to provide timely, expert-led breast services that help ensure patients receive the right care, in the right place, at the right time.

To mark the month, we spoke with Miss Joanna Franks, Consultant Breast and Oncoplastic Surgeon and Clinical Lead for Breast, about what to be aware of, what not to worry about, and how small, consistent habits can make a real difference.

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Everyday breast awareness: knowing what’s normal for you

It’s completely normal for breasts to change in size, shape, or tenderness through the menstrual cycle or with age. “Many people notice their breasts feel lumpier at certain times of the month,” Miss Franks explains. “These changes can be normal. The key is understanding what’s usual for you and being alert to anything that persists or feels different.”

Setting aside a quiet moment once a month, for example in the shower or when getting dressed, is a good way to stay familiar with your body without feeling anxious or pressured.

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When to seek advice: changes worth checking

Most breast changes are benign (non-cancerous), but some signs should prompt a review by your GP or a breast specialist.

“Most of these symptoms turn out to have benign causes, like cysts or fibroadenomas,” she says. “But it’s always best to get them checked. Early review provides reassurance and ensures that, if anything needs treatment, it’s identified as soon as possible.”

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What not to worry about unnecessarily

It’s also important to know what doesn’t need to cause alarm.

By taking a calm, informed approach to breast awareness, people can feel more confident about recognising changes and seeking advice without unnecessary worry.

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Supporting early detection and better outcomes

At 18 Week Support, our breast specialists deliver diagnostic and surgical expertise to NHS trusts across the UK. Our multidisciplinary teams, which include consultant surgeons, radiologists and specialist nurses, help ensure patients are assessed promptly and cared for with precision and compassion.

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Working in partnership with the NHS

Through close collaboration with NHS teams, we help reduce waiting times, improve access to diagnostic clinics, and strengthen clinical education. Our specialists also contribute to training and professional development, ensuring clinicians feel confident in assessing and managing breast concerns.

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Our commitment to breast care excellence

From early assessment and imaging to oncoplastic surgery and reconstruction, 18 Week Support is proud to deliver safe, evidence- based breast services in partnership with NHS trusts nationwide.

Breast Cancer Awareness Month is about empowerment, not anxiety. By helping people understand what’s normal, when to seek advice, and where to find expert support, we can promote confidence in breast health – this month and throughout the year.