Skin-Sparing Mastectomy: Optimizing Reconstruction

# What Is Skin-Sparing Mastectomy?

In a skin-sparing mastectomy, Dr. Schwartz removes all breast tissue through a limited incision (typically a bra-line incision) while preserving most of the native breast skin. The nipple-areola complex is removed, but the remaining skin envelope remains intact for reconstruction.

This approach offers several advantages: natural skin tone and texture for reconstruction, better projection and shape, and a more hidden scar. It's an excellent option for immediate reconstruction with implants or autologous tissue.

# Who Is a Candidate?

Ideal candidates are women planning immediate reconstruction with implants, flaps, or combination approaches. Skin-sparing mastectomy is appropriate for early-stage cancers, DCIS, and preventive surgery. Specific tumor characteristics will be discussed during your consultation.

# What to Expect

The procedure takes 1.5-2 hours and is typically performed with immediate reconstruction by the plastic surgeon. Most patients go home the same day or after an overnight stay. Recovery varies depending on the reconstruction method chosen.

The incision is placed along the bra line where it heals with a well-hidden scar. Working with the preserved skin envelope often allows for better contour and shape compared to standard mastectomy.

# Reconstruction Planning

Skin-sparing mastectomy is designed to work seamlessly with reconstruction. Dr. Schwartz coordinates with a plastic surgeon to ensure optimal cancer removal and beautiful reconstructive outcomes. Many patients achieve results that feel and look very natural.

# Related Procedures