Nipple-Areolar Complex Ischemia: Management During Aesthetic Mammoplasties

  • Alberto RancatiEmail author
  • Claudio Angrigiani
  • Marcelo Irigo
  • Braulio Peralta


Partial or total nipple necrosis after aesthetic mammoplasty surgery can occur. Continuous nipple-areolar complex (NAC) checking and early identification of vascular compromise, followed by appropriate action, may help prevent total NAC loss. The authors describe the vascular anatomy of the breast, associated risk factors, preoperative information, vitality of the NAC during closure, NAC ischemia, intraoperative NAC perfusion evaluation, intraoperative NAC reperfusion and maneuvers, free NAC graft indications, when should a NAC free graft be considered, complications of free nipple grafting, postoperative care, wound care for NAC necrosis, protocol for sequelae treatment, can we predict NAC viability, and ICG intraoperative procedure.


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Alberto Rancati
    • 1
    Email author
  • Claudio Angrigiani
    • 2
  • Marcelo Irigo
    • 3
  • Braulio Peralta
    • 4
  1. 1.Department of Oncoplastic Surgery, Instituto Oncologico Henry MooreUniversity of Buenos AiresBuenos AiresArgentina
  2. 2.Department of Plastic SurgeryHospital SantojanniBuenos AiresArgentina
  3. 3.Department of Oculoplastic Surgery, Instituto Oncologico Henry MooreUniversity of Buenos AiresBuenos AiresArgentina
  4. 4.Instituto Oncologico Henry MooreUniversity of Buenos AiresBuenos AiresArgentina

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