It depends on several factors. Yes, the nipple can be preserved in a certain group of patients in a procedure called “nipple-sparing mastectomy.” A good candidate for this procedure is a patient with a relatively smaller breast (typically not larger than a full C-cup) and a good nipple position on the breast mound. Obviously, the nipple should not be involved with or close to the tumor. Ask your breast surgeon if you are a good candidate for nipple preservation.