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Secondary mastopexy, or mastopexy in previously augmented breasts presents unique challenges due to compromised blood supply to the nipple areola complex. Magnetic Resonance imaging (MRI) with contrast can be used to facilitate pre-operative planning in both cosmetic cases and breast cancer patients. 

We had the opportunity to describe our experience using breast MRI in complicated aesthetic and reconstructive cases at The Aesthetic Society meeting in San Diego, CA in April 2022.

Secondary mastopexy augmentation and aesthetic reconstruction of the breast are challenging cases for the Plastic and Reconstructive surgeon. Performing a pre-operative breast MRI with contrast can help preserve nipple areola complex blood supply in patients with multiple previous operations.