Management of Nipple-Areolar Complex Complications in Nipple-Sparing Mastectomy with Prosthetic Reconstruction

  • Francesco Ciancio
  • Alessandro Innocenti
  • Domenico Parisi
  • Aurelio Portincasa


One of the most observed complication in nipple-sparing mastectomy (NSM) and immediate reconstruction with implants/expander is the partial or total necrosis of the nipple-areolar complex (NAC). The aim of this chapter is to provide the main notions about management of the nipple-areolar complex complications in NSM. Nipple-sparing mastectomy, although in case of necrotic complications to the NAC, is a valuable surgical option. The proper management of these complications is an important factor for achieving optimal result.


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Francesco Ciancio
    • 1
  • Alessandro Innocenti
    • 2
  • Domenico Parisi
    • 3
  • Aurelio Portincasa
    • 3
  1. 1.Department of Plastic and Reconstructive SurgeryUniversity of BariBariItaly
  2. 2.Plastic and Reconstructive MicrosurgeryCareggi Universital HospitalFlorenceItaly
  3. 3.Department of Plastic and Reconstructive SurgeryUniversity of FoggiaFoggiaItaly

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