Aesthet Surg J. 2021 Mar 20:sjab143. doi: 10.1093/asj/sjab143. Online ahead of print.
ABSTRACT
BACKGROUND: To date studies on periareolar dermis release have recorded the areola sensitivity as a mean. Despite being clinically reported by patients, specific points in the areola may present sensitivity not detected by the researcher when it is analyzed through a mean value.
OBJECTIVES: To analyze the pressure sensitivity at specific points of the areola-nipple complex and compare it with a mean value in the areola of patients undergoing reduction mammaplasty with periareolar dermis release.
METHODS: This is a prospective, randomized and controlled and trial of 39 consecutive patients (78 breasts) who underwent surgery for treatment of breast hypertrophy. The patients were operated on using the same surgical technique. In each patient, one breast belonged to a control group and the other to an experiment group. The periareolar dermis release was performed in the experiment group (39 breasts). Pressure sensitivity was tested with Semmes-Weinstein monofilaments on the papilla and at four specific points of the areola. The evaluations were conducted at preoperative, postoperative occasions of three and six weeks, and one year.
RESULTS: The group comparisons show statistically significant difference of sensitivity at the medial point of the areola and in the papilla at three weeks after operation. This difference disappeared in the one-year evaluation. This recovery profile also occurs when areola sensitivity corresponds to a mean value. The sensitivity significantly decreased at the lower point of the areola up to one year after operation in the control and experiment groups.
CONCLUSION: The periareolar dermis release did not compromise the pressure sensitivity at points evaluated in NAC. The areola sensitivity was different when corresponded to a mean value from that at the lower point.
PMID:33743009 | DOI:10.1093/asj/sjab143
