Nipple sparing mastectomy NJ
Traditionally the mastectomy included the nipple because the nipple is part of the breast and the milk ducts continue into the nipple. Recently it has been shown that when the tumor is small and far from the nipple, saving the nipple is possible and does not change the prognosis. Because the nipple is such an important part of the breast, saving it reduces the psychological impact of the mastectomy and makes the procedure more acceptable to women. With the great advances in breast reconstruction, today it is possible to create a breast that looks natural and when the nipple is preserved, one could believe that a mastectomy was never done. See picture below. There is no question that nipple-sparing mastectomy and immediate reconstruction is very popular and is often requested by the patient, at least in northern New Jersey where I practice. I try to accommodate this demand whenever possible, but it is important to let the potential patients know about the limitation of this operation.