Laila A Aboul Nasr, Ibrahim Adel Ibrahim Botros, Ayman Noaman, Adel M Wilson
{"title":"Evaluation of Nipple and Areola Sensation in Different Pedicles of Breast Reduction: A Controlled Trial.","authors":"Laila A Aboul Nasr, Ibrahim Adel Ibrahim Botros, Ayman Noaman, Adel M Wilson","doi":"10.1097/GOX.0000000000006937","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Breast surgery, including augmentation, reduction, and mastopexy, is commonly performed to enhance breast aesthetics.</p><p><strong>Methods: </strong>This study included 45 women (90 breasts) undergoing reduction mammoplasty at the Department of Plastic and Reconstructive Surgery, Kasr Alainy Hospital, between October 2022 and August 2024. Ethical approval was obtained from Cairo University (approval number MD-29-2023). Patients were divided into 3 equal groups: group A (superomedial pedicle), group B (medial pedicle), and group C (inferior pedicle).</p><p><strong>Results: </strong>No significant differences were found in 1-point discrimination using Semmes-Weinstein monofilaments (right and left) across groups preoperatively or postoperatively at 3, 6, and 12 months. Temperature sensation significantly decreased at 3 months in groups A and B compared with group C (<i>P</i> = 0.0002), with no differences at later follow-ups. Crude touch sensation was significantly reduced in group A at 3 and 6 months (<i>P</i> = 0.004), with recovery by 12 months. Pain sensation (<i>P</i> = 0.004) and 2-point discrimination (<i>P</i> = 0.0002) were significantly diminished at 3 months in groups A and B but normalized by 6 and 12 months.</p><p><strong>Conclusions: </strong>Reduction mammaplasty is a safe procedure with low complication rates. Sensory changes in the nipple-areola complex may occur, particularly in the early postoperative period. Sensory recovery is generally observed by 12 months, especially in the inferior pedicle technique.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 7","pages":"e6937"},"PeriodicalIF":1.5000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12212779/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Plastic and Reconstructive Surgery Global Open","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/GOX.0000000000006937","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Breast surgery, including augmentation, reduction, and mastopexy, is commonly performed to enhance breast aesthetics.
Methods: This study included 45 women (90 breasts) undergoing reduction mammoplasty at the Department of Plastic and Reconstructive Surgery, Kasr Alainy Hospital, between October 2022 and August 2024. Ethical approval was obtained from Cairo University (approval number MD-29-2023). Patients were divided into 3 equal groups: group A (superomedial pedicle), group B (medial pedicle), and group C (inferior pedicle).
Results: No significant differences were found in 1-point discrimination using Semmes-Weinstein monofilaments (right and left) across groups preoperatively or postoperatively at 3, 6, and 12 months. Temperature sensation significantly decreased at 3 months in groups A and B compared with group C (P = 0.0002), with no differences at later follow-ups. Crude touch sensation was significantly reduced in group A at 3 and 6 months (P = 0.004), with recovery by 12 months. Pain sensation (P = 0.004) and 2-point discrimination (P = 0.0002) were significantly diminished at 3 months in groups A and B but normalized by 6 and 12 months.
Conclusions: Reduction mammaplasty is a safe procedure with low complication rates. Sensory changes in the nipple-areola complex may occur, particularly in the early postoperative period. Sensory recovery is generally observed by 12 months, especially in the inferior pedicle technique.
期刊介绍:
Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.