Mastectomy Options
Mastectomy isn’t one-size-fits-all. From skin- or nipple-sparing techniques to more traditional approaches, each option has unique benefits depending on your diagnosis and goals. Explore the choices here so you feel informed and supported every step of the way.
Overview
Facing a mastectomy is a life-changing step. Whether it’s done to treat breast cancer or to reduce future risk, it’s natural to have questions about what the surgery involves and how it may affect your body.
There is no single “right” type of mastectomy. Different approaches are available, and the best choice depends on your diagnosis, treatment plan, and personal preferences. Some options remove more skin and breast tissue, while others aim to preserve skin, the nipple, or the areola to support reconstruction.
At Coastal Hope for Healing, our goal is to give you clear, compassionate information so you can understand your choices and feel supported in making the decision that’s right for you.
What You’ll Find Here
In this section, we explain the different types of mastectomy in simple, straightforward language. You’ll learn:
What each surgery involves – from total removal of the breast to techniques that preserve skin or nipple.
Why each option may be chosen – based on cancer type, stage, genetic risk, or personal goals.
How each approach affects reconstruction – since preserving skin or the nipple can influence your reconstruction choices later.
Mastectomy Types Covered
Simple (Total) Mastectomy – removal of the breast, nipple, areola, and most skin, while leaving chest muscles in place.
Modified Radical Mastectomy – removal of the breast plus some lymph nodes under the arm, while preserving chest muscles.
Skin-Sparing Mastectomy – breast tissue is removed but most of the skin is preserved.
Nipple-Sparing Mastectomy – breast tissue is removed but the nipple and areola are kept intact.
Areola-Sparing Mastectomy – the nipple is removed but the areola and skin are preserved.
Skin-Reducing Mastectomy – removes breast tissue while tailoring extra skin to achieve better contour.
Hidden-Scar Mastectomy – incisions are placed in less visible areas for a discreet result.
Risk-Reducing (Prophylactic) Mastectomy – preventive surgery for women at high risk (such as BRCA carriers).
A Personal Choice
Choosing a mastectomy type is deeply personal. Some women prioritize removing as much tissue as possible, while others value preserving skin or the nipple to support reconstruction. Whatever path you choose, there is no “wrong” decision—only the one that aligns best with your health and your healing journey.
At Coastal Hope for Healing, we believe knowledge brings confidence. This section is here to guide you with clarity and compassion.