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Skin-sparing Mastectomy


  • Skin-sparing mastectomy (mas-TEK-to-me) is also called SSM or subcutaneous mastectomy. SSM is a type of mastectomy which is surgery to remove the breast. This may be done to treat breast cancer (tumor) while leaving much of the skin that covers the breast. This surgery may also be done as a form of prevention in women who are at a very high risk of getting breast cancer. With SSM, only the nipple and areola (dark circle around the nipple) are removed. This may also include the part of skin incised (cut) for biopsy or where a superficial (close to the skin) tumor is located. Sometimes, chemotherapy may be used weeks before SSM to shrink a large tumor.
  • SSM is usually done in women who plan to have breast reconstruction during the same surgery. Breast reconstruction is surgery to make a breast that comes close in form and appearance to your natural breast. SSM may allow a more normal appearance of a reconstructed breast. This may help you to cope better with the loss of a breast. Women with breast cancer that involves the skin cannot have SSM. You and your caregiver will decide which breast cancer treatment is right for you.



  • Keep a current list of your medicines: Include the amounts, and when, how, and why you take them. Take the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency. Throw away old medicine lists. Use vitamins, herbs, or food supplements only as directed.
  • Take your medicine as directed: Call your primary healthcare provider if you think your medicine is not working as expected. Tell him about any medicine allergies, and if you want to quit taking or change your medicine.
  • Antibiotics: This medicine is given to fight or prevent an infection caused by bacteria. Always take your antibiotics exactly as ordered by your primary healthcare provider. Do not stop taking your medicine unless directed by your primary healthcare provider. Never save antibiotics or take leftover antibiotics that were given to you for another illness.
  • Pain medicine: You may need medicine to take away or decrease pain.
    • Learn how to take your medicine. Ask what medicine and how much you should take. Be sure you know how, when, and how often to take it.
    • Do not wait until the pain is severe before you take your medicine. Tell caregivers if your pain does not decrease.
    • Pain medicine can make you dizzy or sleepy. Prevent falls by calling someone when you get out of bed or if you need help.

Ask for information about where and when to go for follow-up visits:

For continuing care, treatments, or home services, ask for more information.

Ask your caregiver when you should return to have your wound checked, drain taken out, and stitches removed.

Bathing with stitches:

Follow your primary healthcare provider's instructions on when you can bathe. Gently wash the part of your body that has the stitches. Do not rub on the stitches to dry your skin. Pat the area gently with a towel. When the area is dry, put on a clean, new bandage as directed.

Breast exams:

Do a monthly breast exam on your other breast. If you are having periods, do it 2 or 3 days after your period ends. If you have gone through menopause (change of life), check your breast on the same day each month. You may also need to have a mammogram taken regularly. Ask your caregiver for more information about how to do a breast exam and when to have a mammogram.


You may need to have radiation therapy after your mastectomy. This is a treatment using x-rays or gamma rays. Radiation may help kill cancer cells that were left and keep these cancer cells from spreading.

Rest when you need to while you heal after surgery.

Slowly start to do more each day. Return to your daily activities as directed.

Rest with your arm up on a pillow to decrease pain and swelling.


  • You have a fever.
  • You have discharge or pain in the area where the drain was inserted.
  • You have nausea (upset stomach) or vomiting (throwing up).
  • Your bandage becomes soaked with blood.
  • Your skin is itchy, swollen, or has a rash.
  • You have chest pain or trouble breathing that is getting worse over time.
  • You have questions or concerns about your surgery, illness, or medicine.


  • You feel something is bulging out into your chest and not going back in.
  • You have pain in the chest or armpit that does not go away even after taking pain medicines.
  • Your incision has blood, pus, or a foul-smelling odor.
  • Your shoulder, arm, or fingers feel numb, tingly, cool to touch, or look blue or pale.
  • You suddenly feel lightheaded and have trouble breathing.
  • You have new and sudden chest pain. You may have more pain when you take deep breaths or cough. You may cough up blood.
  • Your arm feels warm, tender, and painful. It may look swollen and red.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.