Skin Sparing

A major advance in oncologic breast surgery has been the development of skin-sparing techniques. Introduced in the early 1990’s, the skin-sparing mastectomy removes the nipple-areolar complex, skin overlying superficial tumors, previous surgical biopsy sites, and the entire breast parenchyma.

From a reconstructive standpoint, skin-sparing mastectomy is advantageous in that it requires shorter scars and preserves the native skin envelope, including the inframammary fold, which can be difficult to recreate. Skin-sparing mastectomy is indicated in early stage breast cancers and offers local recurrence rates similar to traditional mastectomy.