Sensitivity of the Nipple-Areola Complex in Reduction Mammaplasty Following Periareolar Dermis Section.

Abstract:

BACKGROUND:Preservation of the periareolar dermis, after de-epithelization in reduction mammaplasty, may result in reduced nipple-areola complex (NAC) mobility. Consequently, distortion in shape and difficulty correcting the areola position can occur. OBJECTIVES:The aim of this study was to evaluate NAC viability and sensitivity resulting from periareolar dermis section after de-epithelization in patients who underwent reduction mammaplasty surgery. METHODS:This study was a randomized, controlled double-blind clinical trial. A total of 41 patients (82 breasts) were randomly allocated into 2 groups and underwent reduction mammaplasty-involving the superior pedicle-with a final inverted T-shaped scar. A sectioning of the periareolar dermis was performed on the breasts in the experimental group. Semmes-Weinstein monofilaments were used to evaluate NAC sensitivity at the preoperative evaluation, and 3, 6, and 52 weeks after surgery. RESULTS:No cases of partial or total NAC necrosis were noted in either group. The comparison between the groups did not show significant differences regarding NAC sensitivity. However, a statistically significant difference was noted when sensitivity levels at the preoperative evaluation and 3 weeks after surgery were compared in the experimental group. A significant difference was noted when the scores of the sensitivity 3 weeks after surgery were compared between the control and the experiment groups. Nevertheless, after 1 year, no statistical differences were observed in the experimental group or between both groups. CONCLUSIONS:The sectioning of the periareolar dermis does not affect the viability or the pressure sensitivity of the NAC. LEVEL OF EVIDENCE: 4:

journal_name

Aesthet Surg J

authors

de Sá JZ,Braga ACCR,Barreto RHC,Ramos ADS,de Oliveira Rodrigues AE,Santa-Cruz F,Aguiar JLA

doi

10.1093/asj/sjaa011

subject

Has Abstract

pub_date

2020-08-14 00:00:00

pages

NP491-NP498

issue

9

eissn

1090-820X

issn

1527-330X

pii

5713445

journal_volume

40

pub_type

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