Top
20
Doctor insights on: Will I Be Able To Keep My Nipples During A Mastectomy

Share
Dr. Dariush Vaziri Dr. Vaziri
Breast Surgery
43 years in practice
Tehran University of Medical Sciences and Health Services
1

1
Will I be able to keep my nipples during a mastectomy?

Will I be able to keep my nipples during a mastectomy?

May or may not: Most commonly a mastectomy for breast cancer includes removal of the nipple and areola. There is a type of mastectomy called nipple sparing mastectomy. This procedure may not be appropriate for cancer treatment in many situations. You need to talk to your breast surgeon to see if your condition is suitable for this procedure. Not all surgeons do this procedure. ...Read more

See 1 more doctor answer

Nipple (Definition)

A nipple also known mammary papilla or teat is a small projection of skin containing the outlets for 15–20 lactiferous ducts. Its at the apex or top or breast ...Read more


Dr. Julian Kim Dr. Kim
Surgery
31 years in practice
2

2
If the nipples are removed during a mastectomy, can they be reattached?

If the nipples are removed during a mastectomy, can they be reattached?

No: When patients undergo standard mastectomy, the nipples are removed and cannot be reattached. A better option in select patients would be to undergo a nipple-sparing mastectomy, which allows for preservation of the nipple and areola during mastectomy without removing them. For patients who have had the nipple removed during mastectomy, nipple reconstruction is available. ...Read more

Dr. Addagada Rao Dr. Rao
Surgery
52 years in practice
Andhra University, Guntur Medical College
3

3
If a woman has a mastectomy, are the nipples removed also?

Yes: All the time , some times spared in prophylatic mastectomy , due to gentic defects where the tumor(s) did not develop yet. ...Read more

Dr. Steve Howe Dr. Howe
Surgery - Thoracic
25 years in practice
4

4
When you have a mastectomy will they remove the nipples too?

Usually: But recently not always .There are nipple sparing techniques that are being followed very closely by the surgical community. Patients have to meet very specific criteria to be candidates for nipple sparing mastectomies as the goal is to not leave any cancer behind as well as provide the best cosmetic result. ...Read more

Dr. Andrew Hoffman Dr. Hoffman
Surgery
31 years in practice
Hahnemann Medical College
5

5
I wanted to know when you have a mastectomy like angelina, do they remove the nipples too?

Not always.: The nipple has a small amount of breast tissue and can develop a cancer rarely. To truly remove all the breast tissue, the nipple has to go. In the case with angelina, here surgery was prophylactic meaning there was not any cancer present, she had the surgery to reduce the risk. In that setting some of the plastic surgeons who do reconstruction surgery will request that the nipples be undisturbed. ...Read more

Dr. Greg Pahnke Dr. Pahnke
Surgery - Oncology
40 years in practice
University of Pennsylvania School of Medicine
6

6
Can I have a mastectomy without removing the nipple?

Yes withreservations: Nipple saving mastectomy is often done in brca 1 or2 (genetically positive) patients(before cancer diagnosis) or in any patients withdcis or small- less than approx. 2 cm cancers- all at least 2 cm away from areola margin , no extensive dcis, no blood vessel invasion, no skin-muscle invasion .... No clinically positive lymph nodes under arm.But bra -cup size-must be: a or b cup, or not ptotic c cup. ...Read more

Dr. Sean Canale Dr. Canale
Breast Surgery
26 years in practice
Louisiana State University School of Medicine in New Orleans
7

7
Remove the nipples when they do a simple mastectomy?

Usually: The gold standard oncologic mastectomy still includes removal of all the glandular tissue including the nipple/areolar complex since the ducts insert into the tip of the nipple. Leaving the nipple thus means leaving a minimal amount of breast tissue. Nipple sparing mastectomies are being done on an investigational basis for small tumors away from the nipple understanding the above. ...Read more

Dr. Steve Martinez Dr. Martinez
Breast Surgery
24 years in practice
University of Washington School of Medicine
8

8
Can the nipple be spared when having a mastectomy?

In most cases: A nipple sparing mastectomy can be performed for most women. At the time of surgery, a biopsy will be done of the tissue just behind your nipple; if this shows cancer, then your doctor will remove the nipple. It is not a good idea for women with large tumors, those with inflammatory cancer and women with tumors close to or involving the skin. See a breast surgeon or surgical oncologist. ...Read more

Dr. Addagada Rao Dr. Rao
Surgery
52 years in practice
Andhra University, Guntur Medical College
9

9
Please explain why is the nipple removed in mastectomy?

Spread of cancer: Cells travel alonthe ducts to the nepple , may get recurrence , some times as in paget, s disease nipple is already involved. In prophylatic mastectmy where cancer did not appear ( brca genetic cancer ) some times nipple is spared. ...Read more

Dr. Mark Pack Dr. Pack
Surgery
27 years in practice
The Wright State University Boonshoft School of Medicine
10

10
Could mastectomy involve nipple removal?

Yes: Many times mastectomy means removal of the nipple. There is a nipple sparing mastectomy that can be done. I would suggest this be discussed with your surgeon. ...Read more

Dr. Addagada Rao Dr. Rao
Surgery
52 years in practice
Andhra University, Guntur Medical College
11

11
Does a mastectomy mean cutting off the whole tit including nipple?

In general yes: But so many types are involved , where nipple , will be saved , depending on the disease. Speak to your doctor. ...Read more

Dr. Robert Uyeda Dr. Uyeda
Surgery
41 years in practice
Boston University School of Medicine
12

12
Hoping you can tell me, is mastectomy cutting off the whole tit including nipple?

Total: Mastectomy would involve removal of entire breast mound including the nipple/areola. A subcutaneous mastectomy, done usually in men with gynecomastia, removes the breast tissue only and spares the nipple/areola. A modified radical mastectomy would involve total mastectomy plus removal of axillary lymph nodes. ...Read more

Dr. Barry Rosen Dr. Rosen
Surgery
30 years in practice
Northwestern University Feinberg School of Medicine
13

13
Why is nipple sensation more often lost with bilateral mastectomy, but not augmentation?

Bigger operation: Mastectomy involves removing as much breast tissue as possible, either removing the nipple & areola or, occasionally keeping them but scraping as much breast tissue out just underneath. Either of these approaches will disrupt the nerves to that area. With augmentation, no tissue is removed; depending on scar and implant location, it should have minimal effects on the nipple-areolar tissue. ...Read more

Dr. Creighton Wright Dr. Wright
Surgery
52 years in practice
Duke University School of Medicine
14

14
Please explain why is nipple sensation more often lost with bilateral mastectomy and not augmentation?

Different: The surgical fields and tissues involved are different in that the location and direction of nerves is not involved with implants usually. ...Read more

Dr. Barry Rosen Dr. Rosen
Surgery
30 years in practice
Northwestern University Feinberg School of Medicine
15

15
After nipple sparing mastectomy is it normal for nipple to get scabby and dark (i wouldn't say it is black)?

After nipple sparing mastectomy is it normal for nipple to get scabby and dark (i wouldn't say it is black)?

NotNormalButCommon: The challenge of nipple-sparing mastectomy is to remove as much tissue under the nipple without compromising its blood supply; what you are describing is a consequence of the latter. While it may be too early to tell, the nipple may end up ok. When this happens under my care, i advise applying neosporin every 4 hrs while awake--check w/your surgeon what they recommend. ...Read more

See 1 more doctor answer
Dr. Barry Rosen Dr. Rosen
Surgery
30 years in practice
Northwestern University Feinberg School of Medicine
16

16
Is nipple sparing mastectomy safe for brca 2?

Is nipple sparing mastectomy safe for brca 2?

Yes: Many studies have been published demonstrating this option to be safe, both for treatment of breast cancer and prevention in women with brca mutations. No surgery will take the risk of subsequent breast cancer down to zero--there is always some breast tissue left behind, albeit microscopic. Therefore, it stands to reason that the more left behind, the higher the risk; yet, it remains quite low. ...Read more

See 2 more doctor answers
Dr. Devon Webster Dr. Webster
Internal Medicine - Oncology
18 years in practice
Stanford University School of Medicine
17

17
Could I have a mastectomy without removing the nipple? What about the breast skin?

Could I have a mastectomy without removing the nipple? What about the breast skin?

Possibly: Nipple-sparing and skin-sparing mastectomies are possible for certain women with breast cancer. It's not for women with tumors greater than 3cm, tumors within 2cm of the nipple, or multiple tumors. It is still controversial among experts, as there aren't long-term studies showing it's as safe as a simple mastectomy. Talk to your breast surgeon and your oncologist at length before deciding. ...Read more

See 1 more doctor answer
Dr. Addagada Rao Dr. Rao
Surgery
52 years in practice
Andhra University, Guntur Medical College
18

18
When doing a mastectomy then reconstructing the breast, do they keep the original nipple or do they make a new one?

Depending on: The disease , cancer cells can travel along ducts to nipple ares most of the time is removed to prevent recurrence of disease. And nipple is reconstructed , in genetic related prophylactic mastectomy where cancer did not develop yet , may be saved speak to your surgeon .. ...Read more

Dr. Kathryn Wagner Dr. Wagner
Surgery
27 years in practice
University of Texas Medical Branch School of Medicine
19

19
Success rate for mastectomy retaining flap and nipple no sentinel node invasion stage 1b measures 8mm, margins good except anterior 1.5mm? Must chemo?

Success rate for mastectomy retaining flap and nipple no sentinel node invasion stage 1b measures 8mm, margins good except anterior 1.5mm? Must chemo?

Tumor genetics: You could request a recurrence score which is a genomic evaluation of tumor cell gene s. 2 common tests in U.S. Are oncotype DX and mammaprint. ...Read more

Dr. Robert Uyeda Dr. Uyeda
Surgery
41 years in practice
Boston University School of Medicine
20
Dr. Barry Rosen
977 doctors shared insights

Mastectomy (Definition)

A mastectomy is complete removal of all visible breast tissue. Different variations exist, some of which spare some or all of ...Read more