Nipple sparing mastectomies are becomig more common but onlu in select patients with small tumors and no involvment of the subareola tisue. Implant can sometiems be palced this way.
How Common Are Implants with Nipple Insertion Method for Mastectomy Patients?
Doctor Answers 3
Post Mastectomy Reconstruction Typically Done Thru Mastectomy Scar
It would be very unusual to perform a post-mastectomy breast reconstruction through a periareolar incision. In most cases the implant or tissue expander can be placed through the previous (mastectomy) scar so that there are no additional scars created.
After a mastectomy, any breast reconstruction with implants would be done by placing the implants under the big muscle of the chest. Typically the incision would be through the mastectomy scar.