Nipple-Sparing Surgery

Abstract

Nipple-sparing mastectomy (NSM) has gained increasing popularity as an option for treatment over the typical skin-sparing mastectomy (SSM). Proper patient selection is of utmost importance, and, in recent years, surgeons have expanded their eligibility criteria for NSM. While no standard operative technique exists, various incision locations have proven advantageous depending on patient and oncologic characteristics. Consideration of the appropriate reconstructive method must be included, and potential nipple necrosis and locoregional recurrence require diligent postoperative assessment. Enhanced coordination among all members of the breast cancer treatment team, including the patient, is essential to ensure successful treatment and recovery.