Advances in surgical techniques in performing a mastectomy allows the surgeon to remove the entire breast while preserving the nipple areolar complex and the skin of the breast. A small incision is used and the skin of the breast and nipple areloar complex are used to optimize the results of cosmetic reconstruction.
This technique is usually performed when breast removal and reconstruction are completed during the same operation. In addition to other factors, in order to be a canditate for this procedure the primary cancer has to be distant from the nipple areolar complex and the nipple needs to be in a relatively good position for the reconstruction. Otherwise, a skin sparing mastectomy is the better choice.
If an axillary dissection or a sentinel lymph node biopsy is necessary, another incision is often made under the arm.