Mastectomy Options

A hidden-scar mastectomy is a surgical approach where the incision is placed in a less visible location—such as under the breast fold, around the edge of the areola, or in the armpit—so that scars are concealed as much as possible once healing is complete.

This option doesn’t change the safety or effectiveness of the mastectomy itself. It’s still a procedure to remove breast tissue for cancer treatment or prevention—but it places a special focus on minimizing visible scarring and improving cosmetic outcomes.

How It Works

During a hidden-scar mastectomy:

• The surgeon makes an incision in a discreet location (commonly the breast fold, outer edge of the areola, or under the arm).

• Through this opening, breast tissue is removed while preserving as much skin as possible.

• Depending on the case, the nipple and areola may be preserved (nipple-sparing) or removed.

• Reconstruction (with implants, expanders, or flap tissue) can often be performed immediately.

The goal is to perform the necessary cancer-removing surgery while hiding the scar in a natural crease or border, making it less noticeable over time.

Who May Be a Candidate

Hidden-scar techniques may be an option if:

• You have early-stage breast cancer or are undergoing preventive mastectomy (such as for BRCA mutation).

• The tumor is not located too close to the nipple, skin, or areola.

• You have enough healthy skin for safe closure and possible reconstruction.

• You are interested in the cosmetic benefits of reduced scarring.

Your surgeon will carefully evaluate your imaging and anatomy to ensure that a hidden-scar approach can be done safely.

Benefits of Hidden-Scar Mastectomy

• Discreet scarring: Incisions are placed in natural folds or edges, making scars less visible once healed.

• Improved cosmetic results: Many women feel more confident with scars that are hidden or blended.

• Works with other techniques: Can often be combined with nipple-sparing or skin-sparing mastectomy.

• Supports reconstruction: Preserved skin envelope allows for more natural results with implants or flaps.

Things to Keep in Mind

• Not suitable for all cases: If the cancer involves the skin, nipple, or areola, a hidden-scar incision may not be possible.

• Safety comes first: Cosmetic benefits cannot override cancer removal—your surgeon’s priority is always complete and safe tissue removal.

• Healing varies: Even hidden scars can remain visible depending on your skin type, healing process, and whether radiation is part of your treatment.

• Reconstruction still optional: You can choose flat closure or reconstruction with this technique.

Emotional Considerations

For many women, the appearance of scars after mastectomy can be a daily reminder of cancer. Choosing a hidden-scar technique may feel empowering, allowing scars to be less noticeable and helping the chest or reconstructed breast look more natural. Others may not feel strongly about scar placement and focus more on medical safety. Both perspectives are valid.

A Personal Choice

Hidden-scar mastectomy focuses on healing inside and out — removing cancer while leaving scars that are as discreet as possible. It is about combining cancer treatment with thoughtful cosmetic planning. It doesn’t change the fact that breast tissue is being removed, but it does give some women the comfort of knowing their scars will be more discreet.