Related Experiment Video
Updated: May 21, 2026
13:35
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Nipple-sparing mastectomy: indications, oncologic safety
1Department of Surgery, Columbia University, New York, NY, USA.
Minerva Chirurgica
|June 14, 2012
Summary
Nipple-sparing mastectomy (NSM) offers improved aesthetics by preserving the nipple-areola complex (NAC) while maximizing breast cancer treatment. Patient selection and multidisciplinary care are key to successful oncologic and aesthetic outcomes.
Area of Science:
- Oncology
- Plastic Surgery
- Breast Surgery
Background:
- Locoregional breast cancer treatment has evolved significantly.
- Nipple-sparing mastectomy (NSM) is a modern approach offering oncologic safety and improved aesthetics.
- NSM involves removing glandular tissue while preserving the nipple-areola complex (NAC).
Purpose of the Study:
- To review the indications and patient selection criteria for NSM.
- To discuss surgical techniques employed in NSM.
- To evaluate the oncologic outcomes and patient satisfaction associated with NSM.
Main Methods:
- Review of current literature and established practices for NSM.
- Analysis of patient selection parameters and surgical approaches.
- Examination of oncologic results and aesthetic outcomes, including patient satisfaction.
Main Results:
- NSM is gaining popularity globally for both therapeutic and prophylactic purposes.
- Successful NSM requires careful patient selection and multidisciplinary collaboration.
- High patient satisfaction is reported, especially when compared to traditional mastectomy techniques.
Conclusions:
- Nipple-sparing mastectomy represents an advanced breast cancer treatment option.
- Careful preoperative counseling regarding potential risks, such as NAC removal or ischemia, is essential.
- Ongoing data collection through initiatives like the NSM Registry will further refine evidence-based outcomes.
