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Aesthet Surg J. 2020 Jan 22;:
Authors: de Sá JZ, Braga ACCR, Barreto RHC, Ramos ADS, de Oliveira Rodrigues AE, Santa-Cruz F, Aguiar JLA
Abstract
BACKGROUND: Preservation of the periareolar dermis, after de-epithelization in reduction mammaplasty, may result in a limitation of the nipple-areola complex (NAC) mobility. Consequently, distortion in shape and difficulty to correct the areola position occur.
OBJECTIVES: Evaluate NAC viability and sensitivity resulting from periareolar dermis section after de-epithelization in patients who underwent reduction mammaplasty surgery.
METHODS: Controlled double-blinded clinical trial. 41 patients (82 breasts) were randomly divided into two groups and underwent reduction mammaplasty - using 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 and three weeks after surgery were compared in the experimental group. A significant difference was noted when the scores of the sensitivity three weeks after surgery were compared between the control and the experiment groups. Nevertheless, after one year, no statistical differences were observed in the experimental group or between both groups.
CONCLUSION: The sectioning of the periareolar dermis does not affect the viability or the pressure sensitivity of NAC.
PMID: 31965170 [PubMed - as supplied by publisher]
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