Is skin-sparing mastectomy same as nipple-sparing mastectomy?
Other names for this procedure include skin-saving mastectomy and subcutaneous mastectomy. Nipple-sparing mastectomy is a form of skin-sparing mastectomy. Doctors remove as much breast tissue as possible, but leave the nipple-areola complex intact.
Who is eligible for nipple-sparing mastectomy?
An ideal candidate includes women with small breasts, absence of ptosis, low BMI and not actively smoking. High risk patients include those with radiation treatment, active smokers, macromastia, high BMI >30 kg/m2, grade 2 or 3 ptosis and active smokers.
What happens to nipples after nipple-sparing mastectomy?
Nipple-sparing mastectomy leaves the nipple and areola intact, along with the breast skin. All the breast tissue underneath the nipple, areola, and breast skin is removed. The tissue beneath the nipple and areola are checked for cancer. If cancer is detected, the nipple and areola are then removed.
Is skin-sparing the same as nipple-sparing?
During a nipple-sparing mastectomy, the breast tissue is removed, while all of the skin and the nipple and areola are left intact. During skin-sparing mastectomy, the nipple and areola are removed along with the breast, but only a small amount of skin is removed.
Who is not a candidate for nipple-sparing mastectomy?
Nipple-sparing mastectomy is also approved for use in women with a small, early-stage breast cancer if the tumor is not located close to the nipple. Unfortunately, it is not appropriate for women who are large breasted or have significant ptosis (sagginess) of the breasts.
Should I get a nipple-sparing mastectomy?
The research should reassure patients and surgeons that nipple-sparing mastectomies, which leave women with more natural-looking breasts than do other mastectomies, are a safe way to reduce breast cancer risk in carriers of the BRCA mutation, which raises their risk of developing breast cancer.
What is skin-sparing mastectomy with immediate reconstruction?
Skin-sparing mastectomy can be performed as a “simple” or “total” mastectomy or as a modified radical mastectomy to provide the skin needed for immediate reconstruction. During skin-sparing mastectomy, the surgeon removes only the skin of the nipple, areola, and the original biopsy scar.
How long does a nipple-sparing mastectomy take?
A mastectomy is an operation to remove a breast. It’s used to treat breast cancer in women and breast cancer in men. The operation takes about 90 minutes, and most people go home the following day. It can take 4 to 6 weeks to recover from a mastectomy.
Who is a candidate for skin sparing mastectomy?
Should I get a preventive mastectomy?
According to the National Cancer Institute, only those women who are at very high risk of breast cancer should consider preventive mastectomy. This includes women with one or more of the following risk factors: BRCA or certain other gene mutations. Strong family history of breast cancer.
How long do drains stay in after mastectomy and reconstruction?
The surgeon closes the skin with stitches and puts in 1-2 tubes (surgical drains) so fluid from the wound can drain out (see image below). The drain(s) stays in for about a week to 10 days after surgery.
How long is surgery for mastectomy with reconstruction?
The duration of these surgeries (per breast) can take anywhere from 2 to 3 hours for a mastectomy with immediate implant reconstruction or 6 to 12 hours for mastectomy and reconstruction with your own tissue. After the reconstruction is complete, your breast surgeon will attach temporary drainage tubes to your breast.