Use of Magnetic Resonance Imaging to Help Avoid Skin Necrosis After Nipple-Sparing Mastectomy

  • Ronnie L. Shammas
  • Scott T. HollenbeckEmail author


Nipple-areola ischemia and skin flap necrosis are complications that may occur after nipple-sparing mastectomy. The rate of these complications is dependent on many factors including age, comorbidities, and incisional pattern. Furthermore, the extent and occurrence of these complications may be dependent on the pattern of the arterial blood supply to the nipple-areolar complex. Preoperative magnetic resonance imaging may be helpful in choosing the ideal candidate for a nipple-sparing mastectomy, by characterizing the vascular pattern of the nipple-areolar complex. This imaging technique will help guide the physician on the most appropriate incisional pattern that minimizes the risk of vascular compromise to the nipple while also delineating the blood flow pattern to the nipple as unilateral or bilateral.


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Division of Plastic and Reconstructive SurgeryDuke University Medical CenterDurhamUSA

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