In this variation of a mastectomy, a large portion of the skin is preserved, while the breast tissue and nipple-areolar complex are removed. This type of mastectomy is used in conjunction with immediate reconstruction, where a plastic surgeon reconstructs the breast. This allows for the maintenance of the
patient’s body image. This type of mastectomy can be used in the treatment of breast cancer and for risk reduction.
This type of breast surgery takes place under general anesthesia, meaning that the patient will be asleep during the procedure. The surgery will start with a small incision around the areola, and then, the surgeon will remove the necessary amount of breast tissue through the incision. In most cases, to enable effective tissue removal, the areola and nipple are also removed. Then, the sample is sent to a pathologist who will examine the breast tissue.
In some cases, the breast may be rebuilt, with the help of the patient’s own tissue, the use of temporary tissue expanders, or with the help of breast implants.
In some cases, if skin-sparing mastectomies, experts may also remove and check the nearby lymph nodes for cancer. In other cases, the areola and nipple may be saved.