Evaluation of the Sensitivity of the Nipple-Areola Complex in Patients Undergoing Breast Ptosis Correction with Periareolar Dermis Release: A Randomized Controlled Trial.

Autor: Sá JZ; Plastic Surgery Unit, Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil., Santa Cruz Oliveira F; School of Medicine, Federal University of Pernambuco, Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife, PE, 50670-901, Brazil. f.santacruzoliveira@gmail.com., Santinoni WF; Plastic Surgery Unit, Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil., Freire A; School of Medicine, Federal University of Pernambuco, Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife, PE, 50670-901, Brazil., de Oliveira Rodrigues AE; Department of Physiotherapy, Federal University of Pernambuco, Recife, PE, Brazil., de Andrade Aguiar JL; Experimental Surgery Unit, Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
Jazyk: angličtina
Zdroj: Aesthetic plastic surgery [Aesthetic Plast Surg] 2020 Oct; Vol. 44 (5), pp. 1405-1411. Date of Electronic Publication: 2020 Jun 22.
DOI: 10.1007/s00266-020-01835-7
Abstrakt: Background: In the surgical treatment of breast ptosis, the plastic surgeon's main challenge is to mobilize the nipple-areola complex (NAC) over long distances, preserving its sensitivity. Herein, we aimed to evaluate the NAC sensitivity following a periareolar dermis release in patients undergoing surgical correction of breast ptosis.
Methods: This is a prospective, double-blinded, randomized study in which 39 patients (78 breasts) were operated on for the treatment of breast ptosis. Patients' breasts were divided into two groups, each breast in a group. In breasts of the experiment group, the periareolar dermis release was used after decortication. This maneuver was not used in the control group's breasts. To analyze the sensitivity in relation with the distance that the NAC should be mobilized to correct breast ptosis, the value of 6 cm was used as boundary. Sensitivity of the NAC was assessed with monofilaments preoperatively and postoperatively-at three and six weeks and one year.
Results: Regarding the sensitivity of the areola, a significant difference was observed in the comparison between the control and experiment groups at the NAC mobility ≤ 6.0 cm in the preoperative. Regarding the nipple, a significant difference was observed in the comparison between the control and experiment groups at three weeks postoperatively for a NAC mobility ≤ 6.0 cm. After one year, there was no difference in the comparison between the groups in either areola or nipple.
Conclusion: The periareolar dermis release does not compromise NAC vascularization and pressure sensitivity in patients undergoing breast ptosis correction.
Level of Evidence Ii: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Databáze: MEDLINE
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