Nipple Sparing Mastectomies

Nipple Sparing Mastectomies

Mastectomy is a surgery for the removal of breast tissue affected by cancer. It usually involves removal of the breast tissue, nipple and areola. Nipple-sparing mastectomy involves removing the entire breast tissue, but retaining the nipple. Nipple-sparing mastectomy is recommended for removing tumors that are not present near the nipple-areola region.

The procedure is usually performed under general anesthesia. Your surgeon makes a small incision around the areola area of the nipple or just below the areola, and removes the cancerous breast tissue, leaving behind a natural skin pocket. The pocket may be immediately filled with your own body tissue or a breast implant, or a tissue expander may be inserted, which maintains the space and size of the breast until reconstruction at a later stage.

Nipple-sparing mastectomy is a breast-conserving surgery that offers an improved cosmetic outcome compared to breast surgery, as the breast does not have a large scar and there is no discrepancy in the shape of the breast as seen with mastectomy. However, as with any surgical procedure, nipple sparing mastectomy may involve certain risks and complications which include infection, bleeding and a loss of sensation in the nipple.


Dr. April Maddux’s practice has evolved significantly over the years with increasing focus on surgical treatment of breast cancer and preventive/prophylactic surgery for high-risk individuals. Urgent appointments can be made for patients with a confirmed or strongly suspected diagnosis of breast cancer; however, our capacity to offer appointments to patients with benign lesions or symptoms not suspicious for breast cancer is very limited.

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