title: Reduction mammaplasty: a prospective study of symptom relief and alterations of skin sensibility.
abstract: The aim of the present study was to evaluate the alterations of symptoms and tactile sensibility of the breast after reduction mammaplasty. In a prospective study, 10 women were operated on using the inferior pedicle technique. The patients were examined and interviewed preoperatively and at 2 weeks and 3 and 12 months postoperatively. Tactile sensibility was assessed by Somedic monofilaments applied on nine points on each breast: the nipple, four points on the areola, and in four quadrants of the skin. Preoperative tactile sensibility was compared with tactile sensibility in 10 normal controls. A median of 744 g of tissue was removed. All patients reported relief of shoulder and neck discomfort and improvement of skin sensibility 1 year after the operation. Two weeks after the operation, the sensibility of the areola was reduced (p < 0.05), but the skin sensibility of two quadrants was improved (p < 0.05). The sensibility of the areola was restored to preoperative values during the observation period. At 12 months, sensibility was improved compared with preoperative values both in the upper part of the areola and in three quadrants of the skin (p < 0.05). Significant improvement of skin sensibility was found between 3 and 12 months postoperatively in two quadrants of the breast. Also, the erectile function of the nipple was not altered by the operation. In conclusion, the sensibility of the breast was improved or unchanged 1 year after reduction mammaplasty using the Robbins technique. Continuous improvement of sensibility was found during the 1-year observation period. The evidence provided by this prospective study rules out the common misconception that a reduction mammaplasty gives the patient reduced areola sensibility and altered erectile function.
authors.affiliation: Department of Plastic and Reconstructive Surgery, the National University Hospital, Oslo, Norway. sverre.harbo@ulleval.no
authors.forename: Sverre O
authors.initials: SO
authors.lastname: Harbo
authors.forename: Ellen
authors.initials: E
authors.lastname: Jørum
authors.forename: Helge E
authors.initials: HE
authors.lastname: Roald
mesh_terms: D000328:Adult; D001940:Breast / Q000294:innervation* / Q000473:pathology; D005260:Female; D006801:Humans; D006984:Hypertrophy; D016462:Mammaplasty; D008875:Middle Aged; D019547:Neck Pain / Q000175:diagnosis / Q000209:etiology; D009558:Nipples / Q000294:innervation; D017060:Patient Satisfaction; D011446:Prospective Studies; D012684:Sensory Thresholds; D020069:Shoulder Pain / Q000175:diagnosis / Q000209:etiology; D012867:Skin / Q000294:innervation*; D014110:Touch