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Breast sensitivity after vertical mammaplasty.

M Greuse1, M Hamdi, A DeMey

  • 1Department of Plastic Surgery, C. H. U. Brugmann, Free University of Brussels, Belgium. muriel.greuse@chu-brugmann.be

Plastic and Reconstructive Surgery
|March 17, 2001
PubMed
Summary
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Breast reduction surgery using Lejour's technique initially decreases nipple and areola sensitivity, but full recovery is observed within one year. Larger breasts may experience persistent deficits in temperature and vibration sensation post-surgery.

Area of Science:

  • Plastic Surgery
  • Sensory Neuroscience

Background:

  • Breast sensation is a critical concern following reduction mammaplasty.
  • Lejour's technique, utilizing a superior dermoglandular pedicle, is a common method for breast reduction.

Purpose of the Study:

  • To prospectively evaluate breast and nipple-areola complex sensitivity after Lejour's reduction mammaplasty.
  • To determine the impact of breast ptosis and hypertrophy on sensory recovery.

Main Methods:

  • Prospective study assessing 80 breasts using Lejour's technique.
  • Sensitivity measured preoperatively and at 3, 6, and 12 months postoperatively using Semmes-Weinstein monofilaments, hot/cold probes, Biotesiometer, and Disk-Criminator.
  • Patients divided into two groups based on sternal notch-to-nipple distance and tissue resected (Group I: <29cm/>500g, Group II: >29cm/>500g).

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Main Results:

  • Nipple and areola sensitivity significantly decreased at 3 and 6 months, but fully recovered by 1 year.
  • Pressure sensitivity returned to preoperative levels in all areas and groups, with improved superior breast skin sensitivity in Group II.
  • Temperature and vibration sensitivity showed significant decreases in the nipple-areola complex for Group II at 1 year, unlike Group I.

Conclusions:

  • Lejour's technique allows for recovery of breast sensitivity after an initial decline, even in ptotic or moderately hypertrophied breasts.
  • While pressure sensitivity recovers, significant reductions in temperature and vibration sensitivity may persist in the nipple-areola complex of larger breasts one year post-reduction.