A Guide to Nipple-Sparing Mastectomy (NSM)

Nipple-Sparing Mastectomy is a surgery for women who have succumbed to the dangerous terminal disease of breast cancer. This procedure is done for the breast to be removed. A small incision is made on the glandular tissue on the breast to remove it from under the nipple and from the overlying skin. During this procedure, the envelope of the full skin of the breast and nipple are left intact.

During NSM, breast reconstruction is completed without an extension of time for surgery with either a natural tissue or an implant. This gives the possibility of a great treatment and an unexplored look on mastectomy. NSM can be considered as the latest “golden standard” of our modern times with respect to the amazing outcomes that follow immediate reconstruction and complete mastectomy.

 NSM is considered as an extension of “skin-sparing mastectomy.” NSM’s goal is to preserve the breast’s form and structure without raising the risk or compromising a successful cancer treatment.

Nipple-Sparing Mastectomy is the next stage of identifying how a mastectomy should be done in terms of what needs to stay intact and what needs to be removed. Many institutions have done lots of research on the effectiveness of NSM and its safety. The most researched bit about NSM is its ability to treat breast cancer.

 The knowledge that lifts NSM to the limelight of breast cancer care is the same one that popularized lumpectomy. When you combine NSM with a complex breast reconstruction and demand for quality outcomes, it shows why NSM is growing in demand. SGAP and DIEP are minimally-invasive reconstructive techniques for muscle recovery that allow the patient less time at the hospital and less time to recover. The result is a great treatment procedure that offers much better outcomes for the long-term.

 For Nipple-Sparing Mastectomy to be performed well with high success rates, it needs to be undertaken by an expert in the field of Oncology.

 

Nipple-Sparing MastectomyWhen is Nipple-Sparing Mastectomy Used?

 NSM has become the alternative treatment to radiation/lumpectomy for women who have breast cancer and they want to preserve how their breasts look, and they also want to stay away from radiation risks. Although not all women will avoid radiation to go for NSM, most of them will do so. The reason of this certainty is pegged on the statistics that showered that close to 70% of the 300,000 cases of early-stage breast cancer that were diagnosed on an annual basis in the U.S may not need to go for radiation once mastectomy is complete.

 All women who have breast cancer and they decide to go for lumpectomy will have to go for radiation because it is part of the treatment. The chance to dodge the side effects of the heart, lung, and chest wall with treatment using radiation is an advantage of NSM. The potential that NSM offers to sort out the disease and leave radiation out of the way is a great benefit that makes people prefer to go for NSM.

 NSM is also a good treatment for women who desire risk reduction mastectomy, like in BRCA gene mutation. NSM can be done in both large and small breasts. It works well when with an implant or with natural tissue reconstruction. Women with “ptosis”, which is a significant breast sagging, are also potential candidates for NSM combined with DIEP and SGAP which are immediate living tissue reconstruction procedures. This was first started in 2015 at The Restorative breast surgery Center, and it was also published in the Plastic Surgery Journal.

 This progress allows that after NSM, breast reduction or a full breast lift can be done. Women have now been given an opportunity to undergo treatment using this technology and at the same time preserve their nipple. This provides the opportunity to come up with results that were not achievable, leaving the breast to appear more appealing after mastectomy.

 A point to remember for women who want to undergo NSM and their breasts are drooping, is that this NSM modification can only be done when it is combined with reconstruction of natural tissue. This provides an opportunity for flap-based breast reconstruction compared to women’s implant reconstruction who might benefit from breast reduction or breast lift, and who also desire NSM.

 

Images Source: Unsplash.com

Advantages of Nipple-Sparing Mastectomy

 Immediate breast reconstruction and NSM have several benefits. The benefit of preserving a nipple that is natural is that it can produce an untouchable result in appearance. The care if breast cancer has significantly improved since the use of NPS reduces scarring which makes the breasts have that natural look.

 Women who either have large breasts that are sagging or drooping may want to reduce the size of their breasts; with Nipple-Sparing Mastectomy, they can benefit from this procedure which started out at The Restorative Breast Surgery Center.

 For women who plan to have a lumpectomy, NSM provides a way to ensure that their breasts maintain the original shape and look. The added advantage of avoiding a treatment that involves radiation makes lumpectomy to be the least preferred option, as people go for NSM. The chance of reducing the risk of lymphedema is possible when the natural tissue reconstruction is combined with NSM. This makes NSM a better procedure over radiation/lumpectomy protocols that is only being addressed as a huge long-term objective to spurs the quality of life.

 For more information about the best breast surgery options for you, you can contact Dr. Louis DeJoseph of the Premier Image Cosmetic and Laser Surgery – the first plastic surgery practice center in Atlanta, Georgia to specialize in complete specialty cosmetic surgery for both facial and body procedures.

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Reynu Maitri
Reynu joined WomenNow from the beginning on. She loves writing and combines this with her love for India, the country her parents emigrated from to the United States looking for a better life and opportunities. Studying litterature and journalism helped laid the foundation for her writing skills. She is into badminton and an avid runner. Her dream is to live between New York and Mumbai.
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