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  • 1. Introduction
  • 2. Review Breast MRI Blood Flow Patterns if Available
  • 3. Mark Skin for IMP
  • 4. Nipple-Sparing Mastectomy Skin Incision
  • 5. Inject Tumescence
  • 6. Raise Mastectomy Subcutaneous Flaps
  • 7. Biopsy Under Nipple
  • 8. Removing Pectoralis Fascia and Breast Tissue
  • 9. Internal Mammary Perforator (IMP) Preservation
  • 10. PECs and Serratus Blocks
  • 11. Post-op Remarks
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