title: Nipple-sparing mastectomy: an oncologic and cosmetic perspective.
abstract: The guiding principles of nipple-sparing mastectomy (complete removal of the breast from its skin and reconstructing without changing the appearance of the breast) are based on patient safety followed by oncologic safety. Recent advances have also taken into account cosmetic outcome. The ultimate in cosmetic outcome after mastectomy with reconstruction includes preservation of the nipple-areola complex, called a nipple-sparing mastectomy. The evidence-based transition and transformation to nipple-sparing mastectomy from both an oncologic standpoint and a cosmetic perspective are outlined in this article.
authors.affiliation: Comprehensive Breast Program, Department of Women's Oncology, Moffitt Cancer Center, 12902 Magnolia Drive, MCC BR-PROG, Tampa, FL 33612, USA; Department of Surgery, University of South Florida, 13220 USF Laurel Drive, Tampa, FL 33612, USA. Electronic address: Christine.laronga@moffitt.org.
authors.forename: Christine
authors.initials: C
authors.lastname: Laronga
authors.affiliation: Department of Surgery, University of South Florida, 13220 USF Laurel Drive, Tampa, FL 33612, USA.
authors.forename: Paul
authors.initials: P
authors.lastname: Smith
mesh_terms: D001943:Breast Neoplasms / Q000601:surgery*; D003357:Cosmetic Techniques; D005260:Female; D006801:Humans; D016462:Mammaplasty; D015414:Mastectomy, Subcutaneous; D009558:Nipples / Q000601:surgery*; D013524:Surgical Flaps; D015626:Tissue Expansion
keywords: Cosmesis; Nipple-sparing mastectomy; Oncologic safety