Single Stage Nipple-Sparing Mastectomy and Reduction Mastopexy in the Ptotic Breast.
Matthew E PontellN SaadA BrownM RoseR AshinoffA SaadPublished in: Plastic surgery international (2018)
Historically, patients with large, ptotic breasts were excluded from NSM due to the proposed increased risk of NAC necrosis. This study demonstrates a safe approach towards NSM and reduction mastopexy using an inferior, wide-based, epithelialized pedicle. While all patients eventually achieved satisfactory results, there was an association between smoking and NAC necrosis. Smoking cessation is paramount to the operation's success.