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Nipple-Sparing Mastectomy and Nipple Ischemia

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Nipple-Areolar Complex Reconstruction

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Abstract

Nipple-sparing mastectomy has rapidly gained acceptance because of its perceived aesthetic benefits and patient satisfaction. The technical aspects of the procedure continue to evolve as the rate of nipple ischemia approaches 15% in most series. Blood supply to nipple-areolar complex (NAC) comes mainly from perforating branches off the internal mammary artery. Knowledge of their course is necessary to preserve the blood supply to the NAC. Identifications of predisposing factors are paramount to reducing these complications. These include morphological factors (large breasts, ptosis), periareolar incisions, radiation, tobacco smoking, and oncological resections.

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Author information

Authors and Affiliations

  1. Division of Plastic Surgery, Emory University School of Medicine, Atlanta, GA, 30319, USA

    Yan T. Ortiz-Pomales M.D. & Grant W. Carlson M.D.

  2. Winship Cancer Institute, 1365C Clifton Road, Atlanta, GA, 30322, USA

    Grant W. Carlson M.D.

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  1. Yan T. Ortiz-Pomales M.D.
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  2. Grant W. Carlson M.D.
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Correspondence to Grant W. Carlson M.D. .

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  1. Private Practice, Tustin, California, USA

    Melvin A. Shiffman

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Ortiz-Pomales, Y.T., Carlson, G.W. (2018). Nipple-Sparing Mastectomy and Nipple Ischemia. In: Shiffman, M. (eds) Nipple-Areolar Complex Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-60925-6_74

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  • DOI: https://doi.org/10.1007/978-3-319-60925-6_74

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60924-9

  • Online ISBN: 978-3-319-60925-6

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