Understanding Nipple Sparing Mastectomy in India
Explore Nipple Sparing Mastectomy (NSM), a breast cancer surgery that preserves the nipple and skin for a more natural appearance. Learn about eligibility, benefits, risks, and recovery in India.
Written by Dr. Siri Nallapu
Reviewed by Dr. D Bhanu Prakash MBBS, AFIH, Advanced certificate in critical care medicine, Fellowship in critical care medicine
Last updated on 11th Aug, 2025
Facing a mastectomy (surgical removal of the breast) can be an emotionally and physically challenging experience. However, advancements in surgical techniques now offer options that help preserve a more natural appearance post-surgery. One such procedure is Nipple Sparing Mastectomy (NSM). If you or a loved one is considering this surgery, this article will help you understand what it is, its benefits, risks, and what to expect during recovery.
What is Nipple Sparing Mastectomy?
Nipple Sparing Mastectomy (NSM) is a surgical procedure where the breast tissue is removed to treat or prevent breast cancer, while the nipple, areola (the darker area around the nipple), and the breast skin are preserved. This technique helps maintain a more natural-looking breast shape, which can significantly improve emotional well-being after surgery.
Who is a Candidate for NSM?
Not everyone is eligible for this procedure. Your doctor will consider factors such as:
- Tumor size and location: If the cancer is too close to the nipple, NSM may not be possible.
- Breast shape and size: Women with smaller to medium-sized breasts often have better outcomes.
- Cancer stage: Early-stage cancers or high-risk patients opting for preventive surgery are better candidates.
- Overall health: Patients should be in good health to undergo surgery.
Benefits of Nipple Sparing Mastectomy
1. Natural Appearance: Since the nipple and skin are preserved, the breast looks more natural after reconstruction.
2. Psychological Comfort: Many women find it easier to adjust emotionally when their breast appearance is maintained.
3. Reduced Need for Additional Surgeries: Unlike traditional mastectomy, NSM often requires fewer follow-up procedures for nipple reconstruction.
4. Lower Sensation Loss: While some sensation may still be affected, preserving the nipple can help retain some feeling.
Risks and Considerations
Like any surgery, NSM has potential risks:
- Nipple Necrosis: In rare cases, the blood supply to the nipple may be affected, leading to tissue death.
- Infection: Any surgery carries a risk of infection.
- Cancer Recurrence: Though rare, there’s a small chance of cancer returning in the preserved nipple.
- Changes in Sensation: Some women experience reduced or altered nipple sensation.
Your surgeon will discuss these risks in detail before the procedure.
What to Expect During and After Surgery
Before the Surgery
- Consultation: Your surgeon will evaluate your medical history, perform imaging tests, and discuss expectations.
- Pre-surgery Preparations: You may need to stop certain medications and avoid eating before the procedure.
During the Surgery
- The surgeon removes breast tissue through an incision (usually under the breast fold or around the areola).
- The nipple and skin remain intact.
- Breast reconstruction (using implants or your own tissue) is often done at the same time.
Consult Top Doctors
Recovery and Aftercare
- Hospital Stay: Typically 1-2 days.
- Pain Management: Mild to moderate pain is common, but medications will help.
- Drainage Tubes: Small tubes may be placed to remove excess fluid.
- Healing Time: Most women resume light activities in 2-4 weeks, but full recovery may take 6-8 weeks.
- Follow-Up Visits: Regular check-ups ensure proper healing and monitor for complications.
Lifestyle and Emotional Support
Recovering from a mastectomy involves both physical and emotional healing. Here are some tips:
Physical Recovery
- Gentle Movement: Light walking helps circulation but avoid strenuous activities.
- Healthy Diet: Eat protein-rich foods, fruits, and vegetables to aid healing.
- Avoid Smoking & Alcohol: These can slow down recovery.
Emotional Well-being
- Support Groups: Talking to others who have undergone similar experiences can be comforting.
- Counseling: Professional therapy can help cope with body image concerns.
- Partner & Family Support: Open communication with loved ones is crucial.
When to Seek Medical Help
Contact your doctor if you notice:
- Increased pain, redness, or swelling
- Fever or signs of infection
- Unusual discharge from the incision
Conclusion
Nipple Sparing Mastectomy is an advanced surgical option that helps women retain a natural breast appearance while treating or preventing breast cancer. While it has many benefits, it’s important to discuss eligibility, risks, and expectations with a qualified surgeon.
If you’re considering this procedure, Apollo24|7 offers expert consultations with experienced breast surgeons who can guide you through the process. You can book an appointment online to discuss your options and receive personalized care.
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Dr. Asha Rani Singh
Obstetrician and Gynaecologist
24 Years • MBBS DGO
Delhi
Dr Asha Rani Singh Clinic, Delhi
Dr. Humeena Taj C K
Obstetrician and Gynaecologist
5 Years • MBBS, DGO, DNB OBG
Bengaluru
Apollo Medical Center, Marathahalli, Bengaluru
Dr. Sanjan Das
Obstetrician and Gynaecologist
15 Years • MBBS,MS
Bengaluru
Apollo Clinic, Sarjapur Road, Bengaluru
Dr. Parul Sharma
Obstetrician and Gynaecologist
8 Years • MBBS, MS (Obstetrics & Gynaecology)
New Delhi
THE DOCTORS NESST, New Delhi
Dr. Pallab Roy
Obstetrician and Gynaecologist
6 Years • MBBS, MS Obstetrics & Gynecology
Kolkata
Dr Pallab Roy, Kolkata
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