Nipple Sparing Mastectomy

Nipple Sparing Mastectomy (NSM) entails removing all breast tissue while sparing the overlying skin envelope including the nipple areola complex (NAC). This type of mastectomy combined with immediate reconstruction leads to a postoperative breast appearing nearly identical to a pre-operative breast.

The Nipple Sparing Mastectomy Registry (NSMR) has been designed to facilitate compiling information on metrics utilized, techniques utilized, aesthetic outcomes, as well as oncologic outcomes of the Nipple Sparing Mastectomy. We aim to provide a large prospective collection of data points specifically gathered to provide evidence based medicine on outcome measures and metrics utilized for the nipple sparing mastectomy.

The objectives of the ASBS NSMR are as follows:

• Evaluate metrics utilized for patient selection when performing a nipple-sparing mastectomy.
• Evaluate techniques utilized when performing a nipple-sparing mastectomy.
• Compile aesthetic outcomes (i.e. epidermolysis, infection rate, sensation, breast size/shape) of a nipple-sparing mastectomy.
• Evaluate patient characteristics (i.e. demographics, medical co-morbidities, previous breast surgery or treatment) in outcomes/patient selection of a nipple-sparing mastectomy.
• Evaluate long-term outcomes of a nipple-sparing mastectomy (i.e. LRR, DFS, OS).
• Evaluate utilization of a nipple-sparing mastectomy as a prophylactic procedure.