After doing a skin sparing and nipple/areola sparing mastectomy, followed by chemo and radiation, can the cancer return in my nipple, areola or skin?

Probably not: Of course if reschedule cancer is present in the breast tissue near the nipple it can't recur and spread into the skin when this happens it is called p'eau d'orange skin and it causes red thick skin the doctors are aware of this and have elected to have your nipple and skin around the nipple spared so they are not too concerned about this event you should not worry because it is a very low likelihood giving the chemo and radiation hopefully you'll be tumor free.

Yes: Breast cancer can recur anywhere in the body, locally in the breast/skin/lymph nodes and or distally anywhere else.

Plz Ask Ur Surgeon: Local recurrence can occur after any type of mastectomy, with an incidence of ~1%. Nipple-sparing mastectomy (nsm) is a relatively new operation; therefore, we don't have the same amount of data regarding local recurrence rates. Furthermore, i don't know the specifics regarding your cancer. Therefore, you should ask your surgeon this question.

Possible: It is possible. This is why follow up visits and physical exams are important.

Rare, can happen: Unfortunately, recurrence of cancer can occur whether you have had a lumpectomy, mastectomy or nipple sparing mastectomy but only in a small number of patients. Your treating physicians will keep a close eye on you with regular checkups. As we don't know your case history details including the type of reconstruction it would be best to speak with your oncologist, breast and reconstructive surgeon.