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Threshold of tactile perception after nipple-sharing: a prospective study
Asa Edsander-Nord1, Marie Wickman, Per Hansson
1Department of Reconstructive Plastic Surgery, Karolinska Hospital/Institute, Stockholm, Sweden. asa.edsander-nord@ks.se
Summary
Nipple-sharing for breast reconstruction preserves nipple sensation. Donor nipples regain tactile perception within six months, with patients reporting normal function and erection, supporting this technique.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Breast Reconstruction
Background:
- Nipple-areola complex reconstruction is the final stage of breast reconstruction.
- Nipple-sharing is a common technique, but patient concerns exist regarding donor nipple sensibility.
- Understanding the impact on donor nipple sensation is crucial for patient acceptance.
Purpose of the Study:
- To evaluate the effect of nipple-sharing on the tactile sensation of the donor nipple.
- To assess patient satisfaction and functional outcomes after nipple reconstruction using nipple-sharing.
Main Methods:
- Twenty patients undergoing nipple-sharing for breast reconstruction participated.
- Tactile perception threshold of the donor nipple was measured using von Frey monofilaments.
- Measurements were taken preoperatively and at 1, 6, and 12 months postoperatively, with subjective evaluation at 1 year.
Main Results:
- Donor nipple sensibility returned by six months post-surgery.
- All patients reported preserved nipple sensation and erectile function one year after the procedure.
- Subjective patient impressions were highly positive regarding nipple appearance and function.
Conclusions:
- The nipple-sharing technique is a reliable method for nipple reconstruction after mastectomy.
- This technique effectively restores nipple sensation and function, addressing patient concerns about donor site morbidity.
- Nipple-sharing is recommended for completing breast reconstruction due to its favorable sensory and functional outcomes.