Optimizing Nipple Position following Nipple-Sparing Mastectomy.

Background: The best treatment for nipple malposition following nipple-sparing mastectomy is prevention. This article reviews basic elements for success in nipple-sparing mastectomy and offers an option to patients with grade 2-3 breast ptosis who strongly desire to preserve the nipple.

Methods: Retrospective review identified patients undergoing nipple-sparing mastectomy and immediate reconstruction.

Nipple-sparing mastectomy in 99 patients with a mean follow-up of 5 years.

Background: The safety and practicality of nipple-sparing mastectomy (NSM) are controversial.

Methods: Review of a large breast center's experience identified 99 women who underwent intended NSM with subareolar biopsy and breast reconstruction for primary breast cancer. Outcome was assessed by biopsy status, postoperative nipple necrosis or removal, cancer recurrence, and cancer-specific death.