Evidence map›Paper›PMID 39838131›Full record

ArticleAesthetic plastic surgery2025

Compromised Nipple-Areola Complex Perfusion after Reduction Mammaplasty or Mastopexy: A Retrospective Evaluation of Different Treatments.

Raphael Reichert, Laurenz Weitgasser, Thomas Schoeller, Florian Wimmer, Elisabeth Russe, Maximilian Mahrhofer

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Raphael ReichertDepartment of Plastic and Reconstructive Surgery, Marienhospital Stuttgart, Teaching Hospital of the Eberhard Karls University Tuebingen, Boeheimstraße 37, 70199, Stuttgart, Germany. raphaelsimon.reichert@vinzenz.de.
Laurenz WeitgasserDepartment of Plastic and Reconstructive Surgery, Marienhospital Stuttgart, Teaching Hospital of the Eberhard Karls University Tuebingen, Boeheimstraße 37, 70199, Stuttgart, Germany.
Thomas SchoellerDepartment of Plastic and Reconstructive Surgery, Marienhospital Stuttgart, Teaching Hospital of the Eberhard Karls University Tuebingen, Boeheimstraße 37, 70199, Stuttgart, Germany.
Florian WimmerDepartment of Plastic, Aesthetic and Reconstructive Surgery, Hospital of the Brothers of St. John of Gods, Paracelsus Medical University, Salzburg, Austria.
Elisabeth RusseDepartment of Plastic, Aesthetic and Reconstructive Surgery, Hospital of the Brothers of St. John of Gods, Paracelsus Medical University, Salzburg, Austria.
Maximilian MahrhoferDepartment of Plastic and Reconstructive Surgery, Marienhospital Stuttgart, Teaching Hospital of the Eberhard Karls University Tuebingen, Boeheimstraße 37, 70199, Stuttgart, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNecrosis of the nipple-areolar complex (NAC) is a rare but devastating complication after reduction mammaplasty or mastopexy. Various approaches for improving compromised perfusion of the NAC have been described. However, detailed data on this topic in the literature is still scarce. The authors aim to share the experience, treatments and outcomes of their patient collective.

methodsAll patients treated at a single institution due to compromised NAC perfusion after reduction mammaplasty or mastopexy were included. A retrospective evaluation of the patient data using electronic medical records was performed. Intraoperative and postoperative treatments, as well as interventions, were examined.

resultsA total of 31 patients (35 NACs) were included. Mean age was 48 years, mean BMI 30.8 kg/m

conclusionsThis study represents the largest complication series in the literature. Preventing nipple necrosis due to breast reduction or mastopexy is crucial. If compromised perfusion of the NAC occurs, surgeons have various intraoperative or postoperative options available to improve circulation. Early recognition and prompt treatment are essential for the best possible outcome. Nipple necrosis can thus often be avoided. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

MammaplastyNipplesPostoperative ComplicationsAdultAgedCohort StudiesEstheticsFemaleFollow-Up StudiesHumansMiddle AgedNecrosisRetrospective StudiesRisk AssessmentTreatment OutcomeWound HealingComplicationCompromised NAC perfusionMastopexyNipple necrosisReduction mammaplasty

Identifiers

PMID39838131

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.