A Novel Approach to Nipple-Sparing Mastectomy

Dr. Adam Saad, Dr. Michael Rose and Dr. Russell Ashinoff recently published a research article in Plastic Surgery International, “Single Stage Nipple-Sparing Mastectomy and Reduction Mastopexy in the Ptotic Breast.” This article discusses their new surgical technique allowing for simultaneous Nipple Sparing Mastectomy (NSM) with combined breast reduction and lift for women with high-grade ptosis (sagging) and large breasts.

Nipple Sparing Mastectomy (NSM) is a popular surgical technique for women undergoing removal of breast tissue either for breast cancer treatment or as a preventative measure. NSM is often considered in patients with smaller tumors not involving the skin that are not located in the area of the nipple. This procedure is a safe option for breast cancer treatment, has a low tumor recurrence rate and allows a patient’s breast skin and nipple to remain intact. In the past, patients with large, ptotic breasts were often not candidates for NSM due to an increased risk of healing complications in the area of the nipple/areola.

The new technique described in this paper offers women with ptosis and large breasts the option of safely having a simultaneous nipple sparing mastectomy, breast lift, and breast reduction. This procedure allows for immediate breast reconstruction and reduces rate of healing complications in the area of the nipple/areola.

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