Nipple-sparing mastectomy is the latest evolution in mastectomy technique. You can view before and after photos below. The procedure preserves the entire skin envelope and nipple areola. Only the underlying breast tissue is removed. When combined with immediate breast reconstruction, nipple-sparing mastectomy provides superior cosmetic results without compromising cancer treatment. It can also improve the return of sensation in some patients. At PRMA, we routinely offer nipple-sparing mastectomy to appropriate candidates. The procedure can be performed in conjunction with any type of breast reconstruction.