Nipple-sparing mastectomy keeps the nipple and areola intact along with the breast skin. There are many different incisions used to perform this surgery. In all cases, all visible breast tissue is removed. In the literature some authors called this intervention as  subcutaneous mastectomy. No matter what incision is used, tissue under the nipple and areolar complex are checked for cancer. If cancer is detected, the nipple is removed, converting the procedure to a skin-sparing mastectomy. With either surgery, breasts are then reconstructed with an implant or tissue taken from another area of
the body.
Candidates for nipple-sparing mastectomy include:
*Patients without a cancer involvement under the nipple or the areola.

*Patients who have not been diagnosed with inflammatory breast cancer or advanced breast cancer with skin involvement.