Patients with breast hypertrophy often have breast and nipple-areolar complex (NAC) skin paresthesia, shoulder or back pain, eczema, reduced mobility, and other problems, which seriously decline the quality of life. With the improvement of patients’ requirements for life quality, researchers have gradually paid attention to the importance of breast and NAC sensation. This paper introduced Semmes-Weinstein monofilaments examination (SWME), pressure-specified sensory device (PSSD), and the hypotheses of breast and NAC sensory change in patients with mammary hypertrophy. The main factors causing sensory change after breast reduction surgery were also summarized. In these patients, the sensory change of the nipple and areola are not necessarily consistent. Pedicle selection could probably affect postoperative breast and NAC sensation. Notably, the superior pedicle and superolateral pedicle could bring some risks to the innervation of NAC, which might cause a significant decrease in postoperative skin sensitivity within a certain period. In addition, patients with larger breasts probably could benefit more from surgery, and the resection volume was not significantly associated with sensory change.

Patients with breast hypertrophy often have breast and nipple-areolar complex (NAC) skin paresthesia, shoulder or back pain, eczema, reduced mobility, and other problems, which seriously decline the quality of life. With the improvement of patients’ requirements for life quality, researchers have gradually paid attention to the importance of breast and NAC sensation. This paper introduced Semmes-Weinstein monofilaments examination (SWME), pressure-specified sensory device (PSSD), and the hypotheses of breast and NAC sensory change in patients with mammary hypertrophy. The main factors causing sensory change after breast reduction surgery were also summarized. In these patients, the sensory change of the nipple and areola are not necessarily consistent. Pedicle selection could probably affect postoperative breast and NAC sensation. Notably, the superior pedicle and superolateral pedicle could bring some risks to the innervation of NAC, which might cause a significant decrease in postoperative skin sensitivity within a certain period. In addition, patients with larger breasts probably could benefit more from surgery, and the resection volume was not significantly associated with sensory change.