Advantages and Limitations of Nipple-Sparing Mastectomy

Grant W. Carlson, MD, professor of surgery, Emory University School of Medicine, chief, Division of Plastic Surgery, Emory University Hospital, discusses the advantages and limitations of nipple-sparing mastectomy.

Grant W. Carlson, MD, professor of surgery, Emory University School of Medicine, chief, Division of Plastic Surgery, Emory University Hospital, discusses the advantages and limitations of nipple-sparing mastectomy.

Clinical Pearls I

- Though tremendous gains have been made in breast reconstruction in the past 25 years, there remains a need to improve nipple and areola reconstruction.

- Studies have shown that patients who have had a nipple-sparing mastectomy are more satisfied than patients who have had a skin-sparing mastectomy and nipple reconstruction.

Clinical Pearls II

- Limitations include size, location, and stage of cancer, as well as breast size and shape.