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In patients with ptotic breasts who have breast cancer, the nipple areola complex can not often be kept alive during the mastectomy because the remaining blood supply is not adequate enough to perfuse the nipple areola complex. In these patients, the nipple areola complex is removed at the time of mastectomy. These patients can then choose to undergo nipple areola complex tattooing or tattoo with a floral pattern or other artistic tattoo. Patient satisfaction is high post mastectomy in patients who have their breasts placed in a more youthful position post-operatively.

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