Nipple delay procedure 2-3 weeks prior to bilateral proph. mastectomy. Who does this procedure? I was given 2 different answers

I went for 2 opinions for risk reducing mastectomies, NIPPLE SPARING for brca mutation. At one facility the plastic surgeon does the nipple delay procedure to increase the chance of the nipple surviving. At a 2nd facility the breast surgeon said he does the nipple delay procedure. I have no idea who would be best at doing this., breast surgeon, or plastic surgeon?

Doctor Answers 2

Nipple "delay" prior to prophylactic mastectomy

Nipple sparing mastectomy for BRCA mutation is becoming increasingly in demand as women learn more about breast cancer prevention and treatment.   Delay procedures are a tried-and-true method to minimize soft tissue loss during elective and reconstructive procedures.  Either a breast surgeon or a plastic surgeon can perform the delay procedure.   Would recommend having your plastic surgeon and breast surgeon discuss scar placement so that you will have the best overall aesthetic result.   Best to you.  


Durham Plastic Surgeon
5.0 out of 5 stars 8 reviews

Nipple sparing mastectomy

Nipple sparing mastectomy is now being performed more often, but only minority of breast cancer patients are a candidate, depending on size, type and location of the cancer. Not every patient needs a delay procedure, but a delay procedure can improve the nipple survival if your reconstructive surgeon believes you may be at risk for nipple necrosis. I believe both surgeons are qualified to perform the procedure, but I would think that the surgeon performing the reconstruction would want to be involved since he or she will be working with the nipple aerolar complex during the reconstruction phase.

Shahriar Mabourakh, MD, FACS
Sacramento Plastic Surgeon
4.9 out of 5 stars 188 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.