Skin-sparing mastectomy is a technique that preserves as much of the breast skin as possible. During skin-sparing mastectomy, the surgeon removes only the skin of the nipple, areola. Then the surgeon removes the breast tissue through the small opening that is created. The remaining pouch of skin provides the best shape and form to accommodate an implant or a reconstruction using your own tissue. Many women choose this type of mastectomy in order to get the most aesthetic result even though the nipple areolar complex has full of cancer cells.