Nipple sparing procedures

Nipple-Sparing Mastectomy (NSM) is an advanced breast cancer surgery that removes breast tissue while preserving the nipple, areola, and skin. This technique provides a more natural breast appearance after reconstruction, improving cosmetic outcomes and patient confidence. It is primarily used for patients with early-stage breast cancer, high-risk genetic mutations (BRCA1/BRCA2), or prophylactic mastectomy.

The surgeon removes breast tissue while keeping the nipple-areolar complex (NAC) and skin intact. Using small incisions (often under the breast or near the areola), the glandular tissue is carefully removed, reducing the risk of cancer recurrence. In most cases, breast reconstruction with implants or autologous tissue (DIEP/TRAM flap) is performed immediately to restore breast shape. Some patients may experience permanent numbness. In rare cases, the nipple-areolar complex may lose blood supply, requiring revision surgery. While rare, some breast tissue remains, requiring long-term monitoring.

Nipple-Sparing Mastectomy is a highly effective and aesthetically superior breast cancer surgery that allows patients to retain their natural appearance while undergoing life-saving treatment. It offers a balance between oncological safety and cosmetic outcomes, empowering women in their cancer journey.