Managing Necrosis of the Nipple-Areolar Complex Following Reduction Mammaplasty and Mastopexy
Nipple-areolar complex (NAC) necrosis is a dreaded complication of reduction mammaplasty and mastopexy that can lead to prolonged morbidity and permanent cosmetic deformity. Preventing ischemic complications is greatly preferable to treating a necrotic nipple and areola. The guiding principle in surgical management of ischemic complications of the nipple-areolar complex is to avoid aggressive treatment until the tissues have “declared” themselves. With properly timed and well-executed reconstructive procedures, it is possible in most cases to restore a very natural-appearing nipple-areolar complex.
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