Periareola incision and concern about nipple necrosis

borogirl

I am scheduled for prophylactic BMX, nipple sparing, pre-pectoral TE and implants in November. My BS says he does MX incision around the top half of areola and extending straight out to the side a couple of inches. I think it is because he has better access to remove all the breast tissue. I am concerned about increased risk of nipple necrosis as a result of cutting those blood vessels around top of areola. He says that within the areola there are vessels encircling the areola that are fed by radial spokes of blood vessels in the skin, so the blood vessel coming up from below and lower sides will feed the blood loop in areola. He did say there should be about 1 cm of skin flap everywhere, and he leaves about 2 cm under nipple/areola. Anyone else have this type of incision and how were your results?