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Surgical Delay of the Nipple-Areolar Complex: Maximizing Nipple Viability Following Nipple-Sparing Mastectomy While Determining Clear Subareolar Margin

  • Jay Arthur Jensen
Chapter

Abstract

Nipple-sparing mastectomy has gained wide acceptance following the realization that it provides the oncological benefits of mastectomy with the cosmetic benefits of conserving the breast skin. However, some patients are regarded as poor candidates for this procedure based upon risk factors such as macromastia, microvascular disease, previous scars around the nipple, and active cigarette smoking. In addition, some patients are told that their cancers are too close to the nipple without any clinical proof. Performing a surgical delay of the nipple-areolar complex and surrounding breast tissues allows the breast cancer team to stimulate the rerouting of blood supply to the tissues to be preserved while simultaneously obtaining a definitive biopsy of the subareolar tissue. Thus, patients who are often believed to be at high risk for nipple-sparing mastectomy can often have the procedure safely performed.

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Samuel Oschin Cancer CenterLos AngelesUSA
  2. 2.Division of Plastic SurgeryGeffen School of Medicine at UCLALos AngelesUSA

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