Treatments - Breast Surgery

Nipple Sparing Mastectomy

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In the realm of breast cancer treatment, advancements have led to more nuanced approaches, with an emphasis on preserving both physical appearance and psychological well-being. One such innovation is the nipple sparing mastectomy (NSM), a surgical procedure that offers a delicate balance between cancer treatment and aesthetic preservation.

At a Glance

Treatment time:

1-3 hours

Anaesthetic:

General Anaesthetic

Return to work:

2-4 weeks

Duration:

Case Dependent

Final results:

Breast Cancer Management

About This Treatment

Nipple sparing mastectomy is a surgical procedure aimed at removing breast tissue while preserving the nipple-areola complex (NAC).

Unlike traditional mastectomies, which involve the complete removal of the breast tissue, including the nipple, NSM allows for the conservation of the natural nipple structure. This technique is particularly relevant for patients with early-stage breast cancer, disease away from the nipple or those at high risk of developing breast cancer due to genetic factors.

Before undergoing a nipple sparing mastectomy, patients typically undergo thorough preoperative evaluations, including imaging studies and biopsy, to assess the extent of the disease and determine the suitability for the procedure. During the surgery, the breast tissue is removed through carefully planned incisions, while preserving the nipple and areola (area of darkened skin that surrounds the nipple). The procedure is often performed in conjunction with breast reconstruction to restore the breast’s shape and symmetry.

The primary goal of nipple sparing mastectomy is to effectively treat breast cancer while preserving the natural appearance of the breast. Studies have shown favourable cosmetic outcomes and high patient satisfaction rates following NSM, with minimal impact on nipple sensation and function. Additionally, preserving the nipple-areola complex can contribute to improved body image and quality of life for breast cancer survivors.

Birmingham Breast Group’s cancer care service is dedicated to providing comprehensive and personalised care to patients with breast cancer. The integration of nipple sparing mastectomy into our treatment approach underscores our commitment to offering innovative and patient-centred care. Through multidisciplinary collaboration involving surgeons, oncologists, radiologists, and reconstructive specialists, Birmingham Breast Group ensures you receive the most advanced treatment options tailored to your individual needs.

The incorporation of nipple sparing mastectomy into Birmingham Breast Group’s cancer care service offers several advantages. Firstly, it provides you with access to state-of-the-art surgical techniques that prioritise both oncologic outcomes and aesthetic preservation. By preserving the nipple and areola, you can maintain a sense of normalcy and femininity post-surgery, which can have significant psychological benefits.

Moreover, Birmingham Breast Group’s emphasis on patient-centred care ensures that you are actively involved in the decision-making process regarding your treatment. This collaborative approach fosters open communication and trust between you and our healthcare providers, empowering you to make informed decisions about your care. Additionally, the comprehensive support services offered by Birmingham Breast Group, including psychological counselling and survivorship programs, address your holistic needs throughout your cancer journey.

As with any medical innovation, ongoing research and technological advancements play a crucial role in refining and optimising nipple sparing mastectomy techniques. Birmingham Breast Group remains at the forefront of breast cancer research, participating in clinical trials and collaborating with leading institutions to further improve patient outcomes and expand treatment options.

In summary, nipple sparing mastectomy represents a significant advancement in breast cancer treatment, offering breast cancer patients like you, a more tailored and aesthetically pleasing surgical option. Through its integration with Birmingham Breast Group’s cancer care service, this innovative technique exemplifies the commitment to excellence and patient-centred care. By prioritising both oncologic efficacy and patient satisfaction, Birmingham Breast Group continues to set the standard for comprehensive breast cancer care.

Treatment Image

Frequently Asked Questions

The team at Birmingham Breast Group comprises highly skilled surgeons specialising in breast oncology and reconstruction, backed by extensive experience and training in nipple sparing mastectomy. Our expertise ensures precise surgical execution and optimal outcomes for patients undergoing this procedure.

Nipple sparing mastectomy may be recommended for select patients with early-stage breast cancer, disease distant to the nipple areola complex or those at high risk of developing the condition. Candidates typically have small tumours located away from the nipple-areola complex, with no evidence of nipple involvement or extensive ductal carcinoma in situ (DCIS). Additionally, individuals undergoing risk-reducing mastectomy due to genetic predisposition, such as BRCA mutation carriers, may benefit from this procedure. Careful evaluation by our multidisciplinary team determines eligibility, ensuring that patients receive personalised recommendations tailored to their specific cancer profile and cosmetic goals.

Following nipple sparing mastectomy, patients may experience temporary side effects such as bruising, swelling, and discomfort around the surgical site. Nipple sensation may be diminished initially but often improves over time. If complications develop, such as infection, nipple necrosis, or changes in nipple appearance may occur, further medical attention will be required – although complications are uncommon. Additionally, there’s a risk of cancer recurrence, although it’s generally low, especially with careful patient selection and adjuvant therapies. Close monitoring and adherence to postoperative care instructions help mitigate risks, ensuring optimal recovery and long-term outcomes for patients undergoing this procedure.

The expected downtime following nipple sparing mastectomy varies among individuals but typically ranges from two to six weeks. Patients can often return to sedentary work within two weeks, while more physically demanding occupations may require additional recovery time. Moderate exercise, such as walking, can usually be resumed after two to four weeks, with gradually increasing intensity over time. Driving is generally permitted once patients are off pain medications and feel comfortable behind the wheel, typically within one to two weeks. However, it’s essential to consult with our team for personalised guidance based on individual recovery progress and any specific restrictions.

How much does Nipple Sparing Mastectomy cost at Birmingham Breast Group?

As each case is unique, the cost of treatment at BBG may vary depending on individual factors. We tailor our approach to meet your specific needs, ensuring that you receive personalised care and comprehensive support throughout your journey.

Initial consultation

please enquire

All consultations are conducted in strict privacy and all information is confidential.

Surgery costs from

based on consultation

Each procedure has its own personalised treatment plan that is meticulously tailored to meet your unique needs and goals. Healthcare Insurance may be accepted.

Nipple Sparing Mastectomy

Our Specialist Team

Meet the dedicated professionals at Birmingham Breast Group – committed to excellence, compassion, and personalised care for every patient.

View Our Full Team

BSc, MBBS, MSc, MRCS (Ed), FRCS (Eng), MD, FEBS

Naren Basu

Lead Consultant Oncoplastic Breast Surgeon

Meet Naren

BSc, BM, MRCP, FRCR, MD

Daniel Henderson

Consultant Clinical Oncologist

Meet Daniel

MBChB, PhD, FRCS (Eng)

Ms Salena Bains

Consultant Oncoplastic Breast Surgeon

Meet Salena

Consultant Clinical oncologist

Dr James Good

PhD, FRCR

Meet James

BSc, PhD, FRCP

Professor Daniel Rea

Professor of Medical Oncology

Meet Daniel

MRCP, FRCR

Dr Sara Meade

Consultant Clinical Oncologist

Meet Sara

BSc, MBBS, MRCS, FRCR

Dr Faisal Majid

Consultant Radiologist

Meet Faisal

MSc, PhD, FRCPath

Dr Abeer Shaaban

Path Consultant Pathologist

Meet Abeer

Bsc, MBBS, MD (Pathology) FRCPath

Dr Rachna Awasthi

Path Consultant Pathologist

Meet Rachna

 

Dawn Larkin

Breast Care Specialist Nurse

Meet Dawn

 

Ruth Tracey

Macmillan Breast Health Care Assistant

Meet Ruth

 

Dr Nadia Alishah

Job Title Here

Meet Nadia

Qualifications Here

Gill Farrington

Breast Care Specialist Nurse

Meet Gill
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Written by a patient at BMI The Priory Hospital, 17th August 2020

Mr Henderson was kind and understanding and I felt completely at ease with him. He was well informed of my condition and explained his treatment plan to me fully. He has been very attentive in answering emails from me and I really cannot recommend him highly enough. I feel very fortunate to have been in his care.

View More Reviews
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Written by a patient at BMI The Priory Hospital, 17th August 2020

Mr Henderson was kind and understanding and I felt completely at ease with him. He was well informed of my condition and explained his treatment plan to me fully. He has been very attentive in answering emails from me and I really cannot recommend him highly enough. I feel very fortunate to have been in his care.

View More Reviews
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Written by a patient at Spire Little Aston Hospital, 1st December 2019

I have been a patient of Dr Basu since being diagnosed with Breast Cancer a few months ago. Despite the curse of my diagnosis I couldn’t have asked for a better Dr and standard of care. He and his team are super-efficient, have gone out of their way to get fast effective treatment for me and he has super-human levels of patience. During every consultation he has been ever patient, carefully listened to all my questions and concerns then taken the time to explain everything to me and provided constant reassurance. He has been accessible at all times even over weekends and the support has been broad. He looks after you as if you are family and despite having a 90 minute journey to see him at times as we wanted the fastest appointment we couldn’t ask for anything more. Our family see him as an angel not just a doctor for what he has done for us and would recommend him in less than a blink of a eye.

View More Reviews
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Written by a patient at Queen Elizabeth Hospital, 30th September 2019

I first met Naren Basu in 2016 at the Queen Elizabeth Women’s Hospital. I had been diagnosed with breast cancer. He is an exceptionally skilled man at putting people at their ease and explaining everything with great patience and candour. He is a consummate professional and really knows his stuff, especially relating to breast cancer. He is very clever, witty, and a super surgeon. He carried out a reduction to both my breasts, removing the tumours at the same time. I was fortunate indeed to have my surgery via the NHS, it would have been very expensive as a private patient but worth every penny. I felt like a million dollars after my operation. I think he is a fabulous man and so skilled on so many levels and outstanding in human kindness.

View More Reviews
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Written by a carer at Spire Little Aston Hospital, 12th June 2019

Nine days before I was due to go on an extended holiday I discovered problems in both breasts. I was lucky enough to get an appointment 3 days before travel. Mr Basu even called me on the day of the appointment to ask me to come in earlier to ensure they had time to undergo all of the tests that evening. Anyone who has had these problems will know how overwhelming it is but Mr Basu took his time to speak to me and explained all of the procedures/tests that would be carried out that evening and possible outcomes. I did have a small procedure and again everything was explained fully and felt quite safe in his hands. The follow up appointments were just as thorough and Mr Basu made sure I understood all that we discussed. If I ever found myself in this position again Mr Basu would be my first port of call.

View More Reviews
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Written by a carer at Spire Little Aston Hospital, 11th May 2020

I was diagnosed with HER2 positive breast cancer November 8th 2019 , I was then appointed Dr Henderson almost immediately to discuss my treatment plan and way forward, I must say Dr Henderson was absolutely fantastic, he has a real calming nature and really put myself and my husband at ease , plotting my treatment course from day 1 gave us a massive line of sight to work to and in with combination of the nurses at little Aston facing the biggest fight of my life became easier & easier as the week progressed, I owe Dr Henderson my life and can’t thank him enough, he’s worth is weight in gold

View More Reviews
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Written by a patient at Good Hope Hospital, 27th November 2019

I am currently under the care of Dr Daniel Henderson at Good Hope Hospital, and I couldn’t ask for better. He listens, and speaks to you in laymans terms so you understand what is going on now and in the future. He talks to you and not at you, and has a very calm and soothing manner. If you are lucky enough to be referred to him, rest assured that you are in good hands, as he gets things actioned quickly.

View More Reviews
logo

Written by a patient at Spire Little Aston Hospital, 1st December 2019

I have been a patient of Dr Basu since being diagnosed with Breast Cancer a few months ago. Despite the curse of my diagnosis I couldn’t have asked for a better Dr and standard of care. He and his team are super-efficient, have gone out of their way to get fast effective treatment for me and he has super-human levels of patience. During every consultation he has been ever patient, carefully listened to all my questions and concerns then taken the time to explain everything to me and provided constant reassurance. He has been accessible at all times even over weekends and the support has been broad. He looks after you as if you are family and despite having a 90 minute journey to see him at times as we wanted the fastest appointment we couldn’t ask for anything more. Our family see him as an angel not just a doctor for what he has done for us and would recommend him in less than a blink of a eye.

View More Reviews
logo

Written by a patient at Queen Elizabeth Hospital, 30th September 2019

I first met Naren Basu in 2016 at the Queen Elizabeth Women’s Hospital. I had been diagnosed with breast cancer. He is an exceptionally skilled man at putting people at their ease and explaining everything with great patience and candour. He is a consummate professional and really knows his stuff, especially relating to breast cancer. He is very clever, witty, and a super surgeon. He carried out a reduction to both my breasts, removing the tumours at the same time. I was fortunate indeed to have my surgery via the NHS, it would have been very expensive as a private patient but worth every penny. I felt like a million dollars after my operation. I think he is a fabulous man and so skilled on so many levels and outstanding in human kindness.

View More Reviews
logo

Written by a carer at Spire Little Aston Hospital, 12th June 2019

Nine days before I was due to go on an extended holiday I discovered problems in both breasts. I was lucky enough to get an appointment 3 days before travel. Mr Basu even called me on the day of the appointment to ask me to come in earlier to ensure they had time to undergo all of the tests that evening. Anyone who has had these problems will know how overwhelming it is but Mr Basu took his time to speak to me and explained all of the procedures/tests that would be carried out that evening and possible outcomes. I did have a small procedure and again everything was explained fully and felt quite safe in his hands. The follow up appointments were just as thorough and Mr Basu made sure I understood all that we discussed. If I ever found myself in this position again Mr Basu would be my first port of call.

View More Reviews
logo

Written by a carer at Spire Little Aston Hospital, 11th May 2020

I was diagnosed with HER2 positive breast cancer November 8th 2019 , I was then appointed Dr Henderson almost immediately to discuss my treatment plan and way forward, I must say Dr Henderson was absolutely fantastic, he has a real calming nature and really put myself and my husband at ease , plotting my treatment course from day 1 gave us a massive line of sight to work to and in with combination of the nurses at little Aston facing the biggest fight of my life became easier & easier as the week progressed, I owe Dr Henderson my life and can’t thank him enough, he’s worth is weight in gold

View More Reviews
logo

Written by a patient at Good Hope Hospital, 27th November 2019

I am currently under the care of Dr Daniel Henderson at Good Hope Hospital, and I couldn’t ask for better. He listens, and speaks to you in laymans terms so you understand what is going on now and in the future. He talks to you and not at you, and has a very calm and soothing manner. If you are lucky enough to be referred to him, rest assured that you are in good hands, as he gets things actioned quickly.

View More Reviews
logo

Written by a patient at BMI The Priory Hospital, 17th August 2020

Mr Henderson was kind and understanding and I felt completely at ease with him. He was well informed of my condition and explained his treatment plan to me fully. He has been very attentive in answering emails from me and I really cannot recommend him highly enough. I feel very fortunate to have been in his care.

View More Reviews
View More Reviews

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Priory Hospital Edgbaston

Priory Road, Edgbaston, B5 7UG

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Spire Parkway Solihull

1 Damson Parkway, Solihull, B91 2PP

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Spire Little Aston

Little Aston Hall Drive, Sutton Coldfield, B74 3UP

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Mindelsohn Way, Birmingham, B15 2FQ

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