Breast Cancer Center

Nipple Sparing Mastectomy

Nipple Sparing Mastectomy Procedure

A nipple-sparing mastectomy is a surgical procedure in which the breast tissue is removed, but the nipple and areola are left intact along with the skin envelope. This type of mastectomy is typically used for women who have been diagnosed with breast cancer and wish to preserve the appearance of their breast. The procedure is more complex than a traditional mastectomy, and not all women are candidates for it. It is usually done in combination with breast reconstruction surgery.

Why is nipple-sparing mastectomy done?

Nipple-sparing mastectomy is typically done for women who have been diagnosed with breast cancer and wish to preserve the appearance of their breast after surgery. This type of mastectomy can result in a more natural-looking breast shape and can also help to preserve sensation in the nipple and areola.

Additionally, it is also done for women who have high risk of breast cancer or genetic predisposition to breast cancer, where prophylactic (preventative) mastectomy is done to remove the breast tissue to lower the risk of developing breast cancer. It is important to note that not all women are candidates for nipple-sparing mastectomy, as the technique is more complex and the nipple and areola must be free of cancer for the procedure to be safe.

What happens before nipple-sparing mastectomy surgery?

Before a nipple-sparing mastectomy surgery, the patient will typically have a consultation with a surgeon to discuss the procedure and determine if they are a candidate for the surgery. The patient will also have a mammogram or other imaging tests to check the breast tissue and ensure that the cancer has not spread to the nipples. The patient may also meet with a plastic surgeon to discuss reconstruction options. The patient will also be given instructions on how to prepare for the surgery, such as fasting the night before the procedure.

What happens after nipple-sparing mastectomy surgery?

After a nipple-sparing mastectomy surgery, the patient will typically spend some time in recovery before being discharged from the hospital. To treat any discomfort, the patient will be given painkillers, and it’s possible that drains may be inserted to clear the surgical site of extra fluid. For several weeks as the incision site heals, the patient will be advised to refrain from heavy lifting and intense activities. In order to track their progress and make sure the cancer has been completely removed, the patient will also need to go to follow-up consultations with the surgeon. If reconstruction is done with breast implant, the patient will need to attend follow-up appointments with the plastic surgeon to monitor the healing of the implant and the shape of the breast.

How to prepare for nipple-sparing mastectomy surgery?

Nipple-sparing mastectomy is a surgical procedure that removes the breast tissue while preserving the nipple and areola. To prepare for this surgery, it is important to:

  • Consult with a surgeon who is experienced in performing nipple-sparing mastectomy.
  • Get a thorough physical examination and any necessary tests, such as a mammogram or MRI, to evaluate the breast tissue.
  • Discuss any medical conditions or medications that you are taking with your surgeon.
  • Stop smoking and avoid taking certain medications, such as blood thinners, as instructed by your surgeon.
  • Arrange for someone to drive you home and help you with daily tasks during your recovery.
  • Understand the risks and benefits of the surgery and have realistic expectations about the outcome.

It is also important to understand that the success of nipple-sparing mastectomy depends on the size and location of the tumor, as well as the overall health of the patient and the expertise of the surgeon.

What to do after nipple-sparing mastectomy surgery?

It’s crucial to adhere to your surgeon’s recommendations for recovery and aftercare after a nipple-sparing mastectomy. This might comprise:

  • Resting at home and avoiding any strenuous activities or heavy lifting for a period of time.
  • Wearing a surgical bra or compression garment as instructed by your surgeon to help support the chest and reduce swelling.
  • Managing pain and discomfort with medication as prescribed by your surgeon.
  • Keeping the incision area clean and dry, and avoiding soaking in water (such as in a bath or pool) until instructed otherwise.
  • Monitoring for signs of infection, such as redness, swelling, or discharge from the incision site.
  • Following a healthy diet and drinking plenty of water to help with healing and recovery.
  • Scheduling follow-up appointments with your surgeon to monitor your progress and address any concerns.

The operation for NSM normally takes two to three hours and is typically carried out under general anaesthesia. Individual recovery times following NSM vary, however most people can resume their regular activities in 4 to 6 weeks.

Recoveries might take various periods of time for different people, so it’s vital to be patient during the process. Additionally, you might have to wait a specific amount of time before getting breast reconstruction or breast prosthesis.

Additionally, you should be informed that your breast sensation can temporarily change and that your surgeon might suggest you to refrain from sexual activity for a while.

Final Comments

A renowned surgical oncologist with more than 12 years of experience, Dr. Mansi Chowhan. She received a gold medal for her exceptional achievement during her post-graduate studies. She is a highly skilled surgeon who specialises in breast oncoplastic, head and neck surgery, and reconstructive procedures. She has worked at some of Delhi-National Capital Region’s most famous hospitals during her more than 12 years of medical practise (NCR).





About
Dr. Mansi Chowhan
Oncoplastic Breast Surgeon-Surgical Oncologist
MS (Gold Medalist), FIAGES, MCh Breast Oncoplasty (UK), Fellow Breast Surgery (Paris), Fellow Head & Neck Surgery, IFHNOS – MSKCC (New York)

Dr. Mansi Chowhan -Breast Cancer Specialist-Surgical Oncology team at CK Birla Hospitals, Gurugram. Breast Cancer Treatment, Axillary surgery , Benign Breast Cancer Diseases , Breast Cancer Genetics , Breast Cancer Management , Breast Cancer Surgery , Breast Cancer Treatment , Breast Examination , Breast Infection or Mastitis , Breast Lump , Breast Cancer Lump Treatment , Breast Oncoplasty , Breast Cancer Pain Treatment , Breast Precancerous lesions , Breast Reduction , Breast Cancer Surgery , Breast Surgery for Benign lesions , Breast Cancer Screening (Preventive) , Breast Cancer Surgery , Breast Cancer Chemotherapy , Comprehensive Breast Cancer Management , Endocrine Surgery , Gynecomastia Treatment / Surgery , Hormone Therapy For Breast Cancer , Breast Cancer Immunotherapy , Male Breast Cancer , Mastectomy , Nipple Discharge , Surgical Oncology , Volume displacement Oncoplasty , Volume replacement Oncoplasty ,Breast Cancer treatment Hereditary breast cancer Breast lumps Benign breast diseases Fibrocysts of breast Nipple discharge Mastalgia Breast conservation Surgery Breast Oncoplasty level Modified Radical Mastectomy Therapeutic Mammoplasty Sentinel Lymph Node Biopsy ICG dye Sentinel LN Biopsy Axillary Dissection Breast Lump Excision Radio-Guided breast Surgery Palliative Mastectomy Breast Reconstruction Bilateral Prophylactic Mastectomy reconstruction Surgery for nipple discharge

Dr. Mansi Chowhan is an expert Oncoplastic Breast Surgeon with experience of more than 14 years and has been awarded with a gold medal during her surgical post-graduation. Dr. Mansi is well-trained from world renowned surgeons and cancer institutions like the Paris Breast Centre, Memorial Sloan Kettering Cancer Centre (New York), University of East Anglia (U.K.) and Tata Memorial Hospital, Mumbai. She is a skilled surgeon with over 14 years of experience in some of the best hospitals in the Delhi- NCR region including Fortis Hospital, Artemis Hospital, Paras Hospital and Asian Institute of Medical Sciences, CK Birla Hospital. She works with utmost dedication and compassion to deliver international standard and personalized cancer care to the patients.



Breast Cancer Patient’s Journey

The best reference

IS A GOOD WORD

First of all, I would like to thank Dr. Mansi Cowhan for the effort she made to remove a tumor and lymph nodes from the breast of the patient Rawaa Abd Abbas from Iraq, and to follow up on the patient’s condition and gave her the right medical instructions after the operation. Now patient is in a very good health. My advice for all patients who are suffering from breast cancer is to visit Dr Mansi Chowhan she has a very good knowledge and experience in her field .Thank you to Dr Mansi.

Ms. Rawaa Abd Abbas & Mr. Muthanna kareem Alobaidi

Iraq

Dr. Mansi Chowhan, my wife’s breast cancer surgeon, empathized with my wife’s condition. She gave us the technical details in understandable language. She made it clear that the approach was primarily redemptive. She was happy with us when the tests came out favorable. She was sad with us for unfavourable pointers. She was caring throughout the process. We wish that she will bring such care and comfort to many more cancer patients.

Mr. Anup Dominic

Mauritius

I was diagnosed with DCIS. My gynaecologist Dr.Anjali Kumar whom I have known for 12 years and trust her completely, recommended Dr Mansi Chowhan to me. I am very happy that I took the decision of getting my breast surgery done from Dr.Mansi. She is very warm, polite and understands the emotional state of a patient. She explained to me in detail what exactly will be her plan of action. I went for other opinions too but Dr. Mansi was the only doctor who didn’t ask for unnecessary tests and procedures like MRI and Biopsy. Luckily, the lump in my breast was benign. I am grateful to her for handling my case so efficiently and would highly recommend her for breast surgery.

Ms Pratishtha Garg

India

Dr Mansi Chowhan Dr. Mansi is one of the finest, sweetest and humble doctor I have ever met! I think she follows the rule to not overcomit and under deliver. During the period of my mother’s breast cancer consultation, treatment and surgery, she was sometimes upfront for few things, which we as Patient’s family took time to digest. But I really admire and appreciate all the support that Dr. Mansi and team extended during the entire period of pre & post surgery. And the kind of tumor removal + breast conservation surgery that she has done with her magical hands is commendable. I had so many negative thoughts before the surgery, but looking at the result and my mother recovering day by day…I can’t thank her enough for doing such wonders in saving her breast and her life! ❤

Ms Kritika Tandon

India

Dr Mansi Chowhan is an excellent Breast Cancer specialist we have in NCR, she is just amazing.
She is my wife’s doctor. She is very caring, understanding & listens to the patients.
In as much as she is a Gold Medalist, she is very knowledgeable and gives the best advice for the treatment.
She is very genuine in her dealings. She is a very kind and soft spoken to her patients. And takes special interest in caring for her patients, My wife feels very comfortable meeting her.
We highly recommend her to everyone with the above said problem.

Ms. Laban Rao

India

My mother Mrs Santosh admitted under Dr Mansi Chowhan for procedure .
She is the outstanding doctor with golden heart , attend us guide us at each & every level of investigations.
A very big thanks for her & Mr Ibrahim & whole team for supportive hands given to us to fight against disease .
God bless you all & achieve success in future.
Regards

Mr. Alka Sammi

India

Our gratitude towards Dr Mansi Chowhan, my wife’s treating doctor cannot be expressed in words. She diagnosed my wife’s breast cancer and took great care throughout her journey from biopsy to breast surgery to chemotherapy now. To our great relief, a breast conservation surgery was done. She is exceptionally efficient and compassionate towards her patients. Highly recommended for any breast lump or cancer.

Mr. Dushyant Jasoria

India

Dr Mansi Chowhan is one of the finest, sweetest and humble doctor I have ever met! I think she follows the rule to not overcomit and under deliver. During the period of my mother’s breast cancer consultation, treatment and surgery, she was sometimes upfront for few things, which we as Patient’s family took time to digest. But I really admire and appreciate all the support that Dr. Mansi and team extended during the entire period of pre & post surgery. And the kind of tumor removal + breast conservation surgery that she has done with her magical hands is commendable. I had so many negative thoughts before the surgery, but looking at the result and my mother recovering day by day…I can’t thank her enough for doing such wonders in saving her breast and her life! ❤.

Ms. Kritika Tandon

India

I was diagnosed with DCIS. My gynaecologist Dr.Anjali Kumar whom I have known for 12 years and trust her completely, recommended Dr Mansi Chowhan to me. I am very happy that I took the decision of getting my breast surgery done from Dr Mansi. She is very warm, polite and understands the emotional state of a patient. She explained to me in detail what exactly will be her plan of action. I went for other opinions too but She was the only doctor who didn’t ask for unnecessary tests and procedures like MRI and Biopsy. Luckily, the lump in my breast was benign. I am grateful to her for handling my case so efficiently and would highly recommend her for breast surgery..

Ms. Pratishtha Garg

India

Dr Mansi Chowhan was really a blessing for us. She was so empathetic. I went to her for Sister In Law. She operated her for carotid body tumor. We were really scared but once we met Dr Mansi. we were at ease. She excellently handled the case. She was patient enough to hear all our worries and problems. I am thankful to her for all that she has done.

Ms. Madhurima Goswami

India

Surgery from Dr Mansi was like MAGIC TOUCH …as Dr Mansi not only done the procedure…successfully…but also support the patient mentaly to bear the pain without any stress…commmunication skills were suppperrb…Thanks to Dr Mansi.

Mr. Kaka Bhardwaj

India



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