1508 / 1816
The Nipple: to Spare or not to
Spare
In a ptotic breast
Wise pattern skin reduction not
compatible with nipple preservation
unless by free nipple graft.
Bucket handle techniques may be used
but risk of nipple loss
In a non-ptotic breast
Disease proximity: greater
than 2-2.5 cm
Nipple shave to confirm
Increased risk if multicentric
disease, (4% if unifocal versus
34% if multicentric 4
quadrantic disease. If 1cm,
8% risk versus 20% if more
than 5cm