Research progress on the effect of breast reduction surgery on breast and nipple-areola complex sensation
10.3760/cma.j.cn114453-20210908-00377
- VernacularTitle:乳房缩小术对乳房及乳头乳晕复合体感觉影响的研究进展
- Author:
Wandi LI
1
;
Chuan’an SHEN
Author Information
1. 中国人民解放军总医院第四医学中心烧伤整形医学部，北京 100048
- Keywords:
Breast;
Mammaplasty;
Sensation
- From:
Chinese Journal of Plastic Surgery
2023;39(11):1262-1266
- CountryChina
- Language:Chinese
-
Abstract:
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.
