Nipple Sparing Mastectomy (NSM)

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 an incision below the breast at the crease beneath the breast named the inframammaryfold 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 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.