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Managing Necrosis of the Nipple-Areolar Complex Following Reduction Mammaplasty and Mastopexy

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Nipple-Areolar Complex Reconstruction

Abstract

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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Authors and Affiliations

  1. 225 W. Pueblo St., Suite A, Santa Barbara, CA, 93105, USA

    Neal Handel M.D.

  2. Division of Plastic Surgery, Geffen School of Medicine at UCLA, Los Angeles, CA, USA

    Neal Handel M.D.

  3. 225 W Pueblo St, Santa Barbara, CA, 93105, USA

    Sara Yegiyants M.D.

Authors
  1. Neal Handel M.D.
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  2. Sara Yegiyants M.D.
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Corresponding author

Correspondence to Sara Yegiyants M.D. .

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Editors and Affiliations

  1. Private Practice, Tustin, California, USA

    Melvin A. Shiffman

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Handel, N., Yegiyants, S. (2018). Managing Necrosis of the Nipple-Areolar Complex Following Reduction Mammaplasty and Mastopexy. In: Shiffman, M. (eds) Nipple-Areolar Complex Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-60925-6_76

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  • DOI: https://doi.org/10.1007/978-3-319-60925-6_76

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60924-9

  • Online ISBN: 978-3-319-60925-6

  • eBook Packages: MedicineMedicine (R0)

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