Skin-Sparing and Nipple-Sparing Mastectomy are advanced surgical techniques used in the treatment of breast cancer that aim to remove the breast tissue while preserving as much of the natural breast skin — and in selected cases, the nipple-areola complex — as possible. These procedures are commonly performed when immediate breast reconstruction is planned. They offer effective cancer control while achieving improved cosmetic and psychological outcomes for patients.

Skin-Sparing Mastectomy (SSM)

In a Skin-Sparing Mastectomy, the entire breast tissue and nipple-areola complex are removed, but most of the overlying breast skin is preserved. This preserved skin envelope allows for better reconstruction results, creating a more natural breast shape.

Nipple-Sparing Mastectomy (NSM)

In a Nipple-Sparing Mastectomy, the breast tissue is removed while preserving the skin, nipple, and areola. This procedure is carefully selected for patients where the tumor is not located close to the nipple and there is no cancer involvement in that area.

Benefits of NSM

Recovery and Considerations

Recovery time varies depending on whether reconstruction is performed simultaneously. Patients may experience temporary swelling, numbness, or mild discomfort. Careful patient selection, imaging evaluation, and intraoperative assessment are essential to ensure oncological safety. Regular follow-up and monitoring remain important to detect any recurrence early.