Before & After

Skin Sparing Mastectomy

A skin sparing mastectomy removes the nipple and areola with the entire breast gland, but preserves the maximum amount of skin.  Preserving skin results in the best reconstructive outcomes when immediate breast reconstruction is performed.  

A skin sparing mastectomy can be reconstructed by a plastic surgeon using breast implants or natural tissues from other parts of your body.



Nipple Sparing Mastectomy

A nipple sparing mastectomy removes the breast gland, but preserves the nipple areola, and all of the breast skin.  Preserving these critical structures has the potential for the best aesthetic reconstructive outcomes when immediate breast reconstruction is performed.  Because the nipple is left in place a small volume of duct cells will remain in the breast.  The breast surgeon and plastic surgeon have to agree that you are a good candidate for a nipple sparing mastectomy both from an oncologic and a reconstructive standpoint.



Prophylactic Mastectomy

A prophylactic mastectomy removes one or both breasts to reduce the risk of developing breast cancer.  Typically women consider prophylactic mastectomy for several reasons:


●  Already have cancer in one breast

●  Have a strong family history of breast cancer

●  Are carriers of the BRCA 1 or BRCA 2 gene mutation

●  Have been diagnosed with lobular carcinoma in situ (LCIS)

     ● Immediate or Delayed 
       Breast Reconstruction
     ● Reconstructive Timeline
     ● DIEP Flap
     ● PAP Flap
     ● Tissue Expanders & Implants
     ● Direct to Implant
     ● Lumpectomy Reconstruction
     ● Nipple Reconstruction
     ● Symmetry Surgery
     ● Breast Fat Grafting
     ● Revision Surgery
     ● Lymphedema Surgery
     ● Choosing Not to Have
     ● Young Women with Breast
     ● Patients with High BMI
     ● BRCA 1 & BRCA 2
     ● Advanced Breast Cancer
     ● Lumpectomy or Mastectomy
     ● Skin Sparing Mastectomy
     ● Nipple Sparing Mastectomy
     ● Prophylactic Mastectomy
     ● Radiation Therapy
     ● Chemotherapy
     ● Hormone Therapy

Copyright © Wojciech Dec, M.D.    |   100 East 77th Street • New York, NY 10075    |    (212) 390-8400  

Specializing in Breast Reconstruction and Microsurgery

Center for Breast Surgery at

Lenox Hill Hospital


Call for Appointment

(212) 390-8400