Nipple Sparing Mastectomy with Reduction Pattern in Raleigh, NC

Procedure Details

This 43-year-old woman was diagnosed with ductal carcinoma in situ (DCIS) of the left breast. This is an early type of breast cancer which requires removal to prevent development into an invasive cancer. She was offered several options including breast preservation with lumpectomy but she desired a full mastectomy. She felt that her breasts were too large and was hopeful to have reduction on the right side . The patient underwent a nipple sparing left mastectomy with tissue expander and allograft. She also had a right reduction done simultaneously to obtain symmetry. The left reconstruction was quite challenging. The nipple would not survive without adequate blood flow which had to be maintained on a broad base of skin and subcutaneous fat that remains after mastectomy. Dr. Lyle utilized specialized intraoperative techniques to monitor blood flow to the nipple. The patient had a staged reconstruction which is safer in preserving blood flow to the nipple. This was done with a tissue expander technique which allows gradual restoration of the desired breast volume after surgery. Subsequent implant exchange on the left side with a silicone gel implant was performed 3 months later with a result that is difficult to distinguish from a standard breast reduction. Nipple sparing mastectomies are becoming more popular in immediate breast reconstruction however they can be quite challenging with possibility of nipple loss going to in adequate blood supply.


REX Hospital

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.