The surgeon has become an integral part of a multidisciplinary team who manages patients with breast carcinoma. This team includes the diagnostic radiologist, radiation oncologist, medical oncologist, and pathologist. Our resolute purpose must always be to promote the best interest of each individual patient, and not those of surgery, radiotherapy or chemotherapy. The significant contributions of investigators for breast cancer management in the 20th century established the outcome results for conservative surgical techniques to be equivalent to those of radical approaches with regard to disease-free and overall survival. Preservation of the nipple-areolar complex (NAC) while performing a mastectomy is not a new concept for the treatment of breast disease. Historically, the subcutaneous mastectomy was performed in the setting of prophylaxis for high-risk patients or to reduce breast pain, but often left much breast tissue within the skin flaps and at the base of the NAC.Read More