Nipple-Sparing Mastectomy: Advanced Breast Cancer Surgery

# What Is Nipple-Sparing Mastectomy?

In nipple-sparing mastectomy, Dr. Schwartz removes all breast tissue through a hidden incision (often in the inframammary fold or along the lateral breast) while carefully preserving the nipple-areola complex. This maximizes aesthetic outcomes and allows maintenance of normal nipple sensation and potential function.

The procedure requires careful surgical technique to ensure adequate cancer removal while preserving the blood supply and nerve to the nipple. Detailed pathology assessment confirms cancer-free margins in the nipple tissue.

# Who Is a Candidate?

Good candidates have early-stage cancers without nipple involvement, adequate distance from the tumor to the nipple, favorable breast anatomy, and interest in reconstruction. Preventive surgery patients with genetic risk (BRCA mutations) are often excellent candidates.

Dr. Schwartz will assess your individual situation to determine candidacy and discuss any additional monitoring recommended for preserved nipple tissue.

# What to Expect

The procedure takes 2-3 hours and is often performed with immediate reconstruction by a plastic surgeon. Most patients go home the same day or after an overnight stay. Recovery depends on the reconstruction method and typically takes 3-4 weeks for normal activities.

The incision is placed in a hidden location, and preserved nipple tissue is carefully assessed with intraoperative pathology to ensure cancer-free margins.

# Recovery & Long-Term Results

Many women appreciate preserving the nipple-areola complex for aesthetic and emotional reasons. Long-term results are typically excellent, with natural appearance and the potential for preserved sensation. Your surgical team will provide detailed post-operative instructions and follow-up care.

# Related Procedures