Sensibilidade cutânea após mamoplastia redutora

Garcia, Edgard da Silva

Introduction:

Understanding how to preserve the sensitivity of the nipple-areola complex with different reduction mammaplasty procedures is essential in order to provide better postoperative guidance to patients.

Method:

Thirty women were selected to undergo reduction mammaplasty and were subsequently evaluated at three different time points preoperatively, on postoperative day 30, and on postoperative day 180. To assess sensitivity, each areola was divided into four quadrants (PI-P4), with the nipple excluded (P5); therefore, five regions were evaluated. Four sensory tests were performed for each region superficial touch, temperature (heat and cold), vibration, and pressure.

Results:

Compared with the preoperative evaluation, the evaluation performed on postoperative day 30 revealed a significant decrease in sensitivity to vibration in P5, to cold and heat in all regions, and to superficial touch in P3 and P5. On postoperative day 180, a significant decrease in sensitivity to cold was observed in Pl, P2, and P5, and to heat in all regions except in P5, when compared with the preoperative period. A significant decrease in sensitivity to pressure in all regions was detected in the preoperative period when compared with postoperative day 30. On postoperative day 180, a significant decrease in sensitivity to pressure was observed in P2, P4, and P5 when compared with the preoperative period.

Conclusions:

Superior medial pedicle reduction mammaplasty decreased the sensitivity of the nipple-areola complex to all sensory tests on postoperative day 30; however, on postoperative day 180, the sensitivity to temperature and pressure returned to normal. The nipple presented a more significant change in sensitivity than did the areolar region.

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