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As reconstructive or aesthetic surgeons, so much of what we do relies on the ability to maintain appropriate soft tissue perfusion. The consequences of poor tissue perfusion, whether performing a free fibula reconstruction or a facelift, can be devastating. This is why new technologies, such as the SPY Elite Intraoperative perfusion Assessment System (LifeCell Corporation, Branchburg, NJ) are so useful, because they provide us with objective real-time perfusion information. Intraoperative angiography was used in this study to shed some light on an area of much debate: the impact of implant placement to nipple perfusion during augmentation-mastopexy. The major concern that the author wished to address was that of potentially causing nipple ischemia when repositioning the nipple-areolar complex (NAC) and then placing an implant. This is an important concern, since even …

Commentary on: Safety of Vertical Augmentation-Mastopexy: Prospective Evaluation of Breast Perfusion Using Laser Fluorescence Imaging