Nipple-Sparing Mastectomy (NSM)

In addition to helping you see the results of a number of nipple-sparing mastectomies with breast reconstruction, before and after images can also be a helpful conversation starter and communication tool during your consultation. Keep in mind that each patient is unique and that results will vary. Once again also please remember that Miss Jane O’Brien feels that out of respect for her patients, pre and post-op photos of her own patients are most appropriately shared in a private office consultation setting and not on the internet. She will be happy to review pre and post-operative photographs of her own patients with you, if relevant, in the privacy of her office when you meet with her. You will note that the photos below demonstrate bilateral NSM. This is largely because NSM has up until recently been performed mainly for risk reduction (bilateral), not for malignancy (unilateral)

PLEASE NOTE: All images in this photo gallery have been sourced from the public domain.

Prophylactic nipple-sparing mastectomy (NSM) and immediate reconstruction with tissue expanders placed under the pectoralis muscle. Top-Preoperative appearance

Below-3 months’ follow-up. Tissue expanders have been exchanged for implants. Mastectomies done through an inframammary incision

Nipple-sparing mastectomy- Preoperative views.

Postoperative views

Bilateral nipple-sparing mastectomies with immediate reconstruction. Left-Preoperative views and Right-6 months postoperatively, after exchange of expanders for silicone-filled implants,

Bilateral nipple-sparing mastectomies with immediate reconstruction-Preoperative views.

Appearance 4 months after tissue expander exchange to bilateral silicone implants.

Bilateral prophylactic nipple-sparing mastectomies with immediate expander reconstruction. Preoperative views.

Expanders were subsequently changed to silicone implants

Bilateral prophylactic nipple-sparing mastectomies with immediate expander reconstruction. Expanders were subsequently exchanged for implants.

Bilateral prophylactic, subcutaneous, nipple-sparing mastectomies through inframammary incisions and immediate expander/implant reconstruction.

Bilateral prophylactic nipple-sparing mastectomies with immediate expander reconstruction. Subsequently, expanders were exchanged for implants.

Bilateral prophylactic nipple-sparing mastectomies through inframammary incisions with
immediate expander reconstruction. Upper Left-preop. Upper right- tissue expanders “overexpanded” Bottom right and left- Expanders subsequently exchanged for implants.

Bilateral prophylactic nipple-areola complex–sparing mastectomies and immediate reconstruction with tissue expanders followed by implants.