Nipple-Sparing Mastectomy In Sydney

A nipple-sparing mastectomy involves the removal of the breast tissue beneath the skin through an incision positioned so that scars are as discreet as possible. The skin and nipple–areola complex are preserved, provided cancer cells are not too close to the nipple ducts. This preservation gives the reconstructed breast a more natural shape and contour compared to traditional mastectomy techniques.

When performed by a surgeon experienced in both cancer and reconstructive surgery, such as Dr Michael Yunaev, the procedure may be combined with immediate breast reconstruction. This can be done using either an implant or the patient’s own tissue. This approach may reduce the need for multiple major surgeries and may help streamline treatment and recovery.

Suitability depends on cancer location, tumour size, and proximity to the nipple. It may be offered to:

• Patients with early-stage breast cancer where the tumour is away from the nipple
• Those undergoing surgery to reduce cancer risk due to a strong family history or a BRCA gene mutation
• Selected cases where breast shape and skin quality can be preserved for reconstruction

Not every patient is a candidate. The decision is always guided by cancer safety first, followed by reconstruction goals.

Terminology can be confusing. Here’s a brief comparison:

• Skin-sparing mastectomy – Preserves most of the skin but removes the nipple and areola.
• Nipple-sparing mastectomy – Preserves both the nipple–areola complex and most skin.

Other terms such as nipple-conserving mastectomy, nipple-saving mastectomy, or mastectomy with nipple sparing, are sometimes used for similar procedures, but the degree of skin preservation can vary. The nipple and skin-sparing approach offers the most complete preservation when safe to perform, which can significantly influence reconstructive results.

Potential benefits may include:

• A more natural breast contour after reconstruction
• Reduced visible scarring on the front of the breast
• Preservation of the natural nipple–areola appearance

Important considerations:

• The nipple may not have a normal sensation afterwards
• Rarely, the preserved nipple–areola may not survive due to reduced blood supply
• Some patients may require further procedures to achieve symmetry or refine breast contour

At BB Clinic, cancer safety is always the primary concern. If preserving the nipple or skin could compromise cancer clearance, a different surgical approach will be advised.

Most patients stay in the hospital for one to two nights. Recovery time varies depending on whether reconstruction is performed and the type used (implant-based or autologous tissue). Temporary changes in nipple sensation are common, and in most cases, sensation may not fully return.

Follow-up appointments are scheduled to monitor healing, manage drains (if used), and address any concerns promptly. Regular cancer surveillance remains essential after surgery, and the BB Clinic team supports patients throughout their recovery and beyond.

BB Clinic offers specialist breast and general surgery, including cancer surgery, reconstruction, and oncoplastic procedures, with an emphasis on both medical safety and achieving a natural appearance.

Thanks to advances in cancer care, breast cancer survival rates in Australia are high, over 90% for early-stage cases. This makes the quality of surgical outcomes critically important for long-term satisfaction and comfort.

Dr Yunaev integrates cancer removal and reconstruction into one carefully planned procedure to minimise the need for future corrective surgery. Patients are supported before and after surgery with detailed discussions and personalised care plans.

If you’re considering whether a nipple-sparing mastectomy or mastectomy with nipple sparing is right for you, the next step is a thorough, personalised consultation.

Dr Michael Yunaev, FRACS, provides clear, evidence-based advice and will answer all your questions in detail.

For appointments or further information, contact BB Clinic on (02) 9819 7449 or email info@bbclinic.com.au.