Mastectomy is a common treatment for breast cancer, but not all procedures are the same. In recent years, nipple-sparing mastectomy (NSM) has become a popular alternative to traditional mastectomy for eligible patients. While both surgeries remove breast tissue to treat or prevent cancer, the difference lies in what’s preserved — and how that affects recovery, appearance, and emotional well-being.
Here’s what you need to know about NSM vs. traditional mastectomy, and how to choose what’s best for your breast cancer journey.
A traditional mastectomy removes all breast tissue, including the nipple and areola. It may be recommended for patients with larger tumors, involvement near the nipple area, or aggressive cancer types.
There are several variations, such as:
While this surgery is often very effective in treating cancer, it can have a significant impact on a patient’s appearance and body image. Nipple removal also typically results in a greater loss of breast sensation.
A nipple-sparing mastectomy removes the breast tissue but preserves the nipple and areola. The goal is to maintain a more natural look and feel, which can help with post-surgical confidence and emotional healing.
NSM is usually performed alongside immediate breast reconstruction. It’s only suitable if cancer has not spread to the nipple-areola complex. Tumor size, location, and your overall health will be evaluated before this option is considered.
Your care team will consider the size and location of your tumor, lymph node involvement, genetic risk factors, and overall health before recommending a surgical approach. NSM may not be suitable for all patients, but for those who qualify, it offers excellent cancer control with improved aesthetic and emotional outcomes.
Recovery from both surgeries involves rest, limited arm movement, and follow-up care. Patients who undergo NSM often begin breast reconstruction during the same procedure. Reconstruction options include:
Advances in microsurgery and imaging now make reconstruction more precise and personalized than ever.
Whether you’re newly diagnosed or exploring surgical options, the experts at Gregory Rhodes MD Cancer Center are here to help. Our multidisciplinary team offers personalized care, advanced technology, and compassionate support every step of the way.
Contact us today to schedule a consultation and learn more about your mastectomy and reconstruction options.
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