Did you know?
In 2024, an estimated 2,296,840 new cases of breast cancer were reported worldwide, highlighting the global burden of this disease. India, too, has seen a noticeable rise in breast cancer incidence. (https://gco.iarc.who.int/media/globocan/factsheets/cancers/20-breast-fact-sheet.pdf)
Early detection is crucial, as it significantly improves the chances of successful treatment and long-term patient outcomes.
A breast cancer diagnosis can be overwhelming — not only physically but emotionally and psychologically. For many women, the idea of losing a breast is like losing feminist identity and self-esteem.
At KD Hospital, we believe that treating breast cancer should not only save lives but also preserve a woman’s dignity and confidence.
That’s why we offer nipple-sparing mastectomy (NSM) — a modern, patient-friendly surgical technique that removes the cancer but keeps the nipple, areola, and breast skin intact. With the latest robotic-assisted technology, this procedure can be performed with greater precision, smaller incisions, and faster recovery.
What is nipple-sparing mastectomy?
A nipple-sparing mastectomy is a type of surgery where the entire breast tissue is removed, but the nipple and areola are preserved, along with the outer skin envelope. It is possible to immediately reconstruct the breast in a way that looks and feels more natural.
It is used both for:
- Treatment of early-stage breast cancer
- Prevention in women at high risk (e.g., BRCA mutation carriers)
At KD Hospital, we combine oncologic safety with cosmetic excellence, ensuring every patient receives the most advanced and personalized care.
Why consider NSM?
NSM has become an option in breast cancer surgery. It helps:
- Preserve the appearance of the breast
- Improve emotional and psychological well-being
- Allow immediate reconstruction in the same surgery
- Maintain oncological safety in carefully selected patients
With robotic-assisted techniques, the benefits of NSM have become even more refined.
Robotic-assisted nipple-sparing mastectomy at KD Hospital
KD Hospital is one of the leading hospitals in Gujarat to offer robotic-assisted nipple-sparing mastectomy, performed using the Da Vinci X surgical system. This minimally invasive technology allows surgeons to operate with unmatched precision, control, and 3D visualisation.
How robotic surgery enhances NSM:
- Smaller incisions: The robotic instruments are inserted through small keyhole incisions, often hidden in the armpit or under the breast-fold, reducing visible scarring.
- Better preservation of tissues: Robotic arms can navigate delicate spaces better than the human hand, allowing safer preservation of the skin and nipple.
- Minimised trauma: Less tissue handling means less bruising, swelling, and faster healing.
- Improved access: Tumors that are difficult to reach with traditional techniques can be safely removed robotically.
- High precision: The surgeon has enhanced dexterity and range of motion, which is especially helpful in preserving critical structures like nerves and blood vessels.
Our surgeons at KD Hospital are specially trained in robotic breast surgery, making NSM safer and more cosmetically satisfying for the right candidates.
Who is eligible for NSM (With or without robotics)?
NSM is suitable for selected patients, determined by careful evaluation and imaging.
Ideal candidates:
- Women with early-stage breast cancer (tumour not near the nipple)
- Women with genetic risk (e.g., BRCA1/BRCA2) undergoing prophylactic mastectomy
- Non-smokers or those with good vascular health
- Patients with small to moderately sized breasts and no sagging
Not recommended for:
- Cancers involving the skin or nipple
- Large or advanced tumours
- Smokers or diabetics with poor wound healing
- Inflammatory breast cancer or Paget’s disease of the nipple
At KD Hospital, detailed consultation and radiological workup (mammogram, MRI, and/or biopsy) take place to assess your suitability.
The procedure: Step-by-step:
Here’s how NSM is typically performed, including robotic assistance:
- General anesthesia is administered.
- Incision: A small incision is made typically in the natural fold beneath the breast or, in the case of robotic surgery, through the armpit for a less visible scar and improved cosmetic outcome.
- Breast tissue removal: All glandular breast tissue is removed while preserving the nipple and skin.
- Intraoperative nipple biopsy: Tissue under the nipple is tested to ensure it is cancer-free.
- Immediate reconstruction: The breast is reconstructed using implants or the patient’s tissue (e.g., DIEP flap), often during the same surgery.
Benefits of NSM – Especially with robotic surgery
- Superior cosmetic results
Preserving the nipple allows for a more natural-looking reconstructed breast.
- Emotional & psychological advantages
Women often report higher satisfaction, better body image, and lower rates of depression or anxiety.
- Immediate reconstruction
With the skin and nipple intact, breast reconstruction becomes more realistic and symmetrical.
- Faster healing with robotics
Less tissue trauma means faster recovery, shorter hospital stays, and quicker return to regular life.
- Oncological safety
Studies confirm that in selected patients, NSM (including robotic-assisted NSM) is equally safe as traditional mastectomy in terms of cancer control.
Risks and considerations:
While NSM is generally safe in the right candidates, there are some potential risks:
- Nipple necrosis (tissue death): Rare, more common in smokers or large breasts
- Infection or seroma
- Reduced or lost nipple sensation
- Scarring (minimised with robotic approach)
- Possibility of cancer recurrence (very rare if screening is done well)
Our team at KD Hospital is meticulous in both preoperative planning and postoperative monitoring to keep these risks minimal.
What to expect after surgery at KD Hospital
- Hospital stay:
Most patients stay 1–2 days after NSM and for 4-5 days in case of reconstruction with flap. If done robotically, recovery is even smoother.
- Pain & healing:
Pain is usually mild and controlled with medications. Most patients return to normal activity in 2 weeks, and full recovery occurs within 4 weeks.
- Drains & dressings:
Temporary surgical drains may be placed and removed after about a week or 2.
- Follow-up:
You’ll have regular check-ups with our breast cancer team, including imaging and other required tests.
Frequently asked questions
- Will my breasts look normal after NSM?
Yes. Because the nipple, areola, and skin are preserved, your reconstructed breast will closely resemble your natural breast — especially with the expertise of our reconstructive surgeons.
- Will I feel anything in my nipple after surgery?
Sensation may be reduced or absent, although some women regain partial feeling over time.
- Can NSM be done for both breasts?
Yes, especially in preventive surgeries, both breasts can be treated and reconstructed at once.
- Is robotic surgery safe?
Absolutely. Robotic-assisted NSM is safe, precise, and offers faster recovery with better cosmetic outcomes in suitable patients.
- Is this surgery covered by insurance?
Yes. Most insurance plans cover NSM and reconstruction when medically indicated. Our administrative team at KD Hospital will assist with the paperwork and authorisations.
Why choose KD Hospital for nipple-sparing mastectomy?
- Multidisciplinary cancer team
Breast surgeons, oncologists, plastic surgeons, radiologists, and counsellors — all under one roof.
- Robotic surgery excellence
We are among Gujarat’s few hospitals offering robotic-assisted breast surgeries.
- Personalised reconstruction options
We offer implant-based, autologous (tissue-based), or hybrid breast reconstruction tailored to your needs.
- Compassionate care
From diagnosis to recovery, we walk beside you with support, education, and respect for your choices.
Leading hospital for cancer care in Ahmedabad.
In a nutshell:
Nipple-sparing mastectomy, especially when combined with robotic-assisted techniques, offers women a safe and effective way to fight breast cancer while preserving their sense of self. At KD Hospital, we have an advanced approach — blending medical excellence with human empathy.
If you or a loved one has been diagnosed with breast cancer or carries a high-risk genetic profile, reach out to us. Let’s discuss your options and make an informed, confident decision together.
