European Journal of Plastic Surgery

, Volume 20, Issue 2, pp 60–65 | Cite as

Nipple sensitivity and lactation in two methods of breast reduction

  • R. M. Kappel
  • R. Dijkstra
  • J. B. Storm van Leeuwen
  • P. Houpt
  • M. Kuyper
Originals

Abstract

Two methods of breast reduction were performed between 1981 and 1986. One was wedge resection of the breast in which nipple and gland were disconnected. The other was the tangential and circumferential breast reduction, in which the nipple remained in continuity with the gland. For each method, there were 21 patients. The mean follow-up was 5 years and 9 months. In both groups, 8 patients had 11 children, but only the tangential reduction patients lactated. They also had better subjective nipple sensitivity whereas objectively the differences were rather small.

Key words

Nipple sensitivity Breast reduction Lactation 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Biessenberger H (1928) Eine neue Methode der Mammaplastik. Zentralbl Chir 55:2382Google Scholar
  2. 2.
    Craig RDP, Sykes PA (1970) Nipple sensitivity following reduction mammaplasty. Br J Plast Surg 23:165PubMedGoogle Scholar
  3. 3.
    Festge O (1960) Eine abgewandelte Technik bei der Mammaplastik zur Vermeidung von Mamillen- und Gewebsnekrosen. Zentralbl Chir 85:2365PubMedGoogle Scholar
  4. 4.
    Georgiade GS, Riefkohl R, Georgiade NG (1990) Reduction mammaplasty utilizing the inferior pyramidal dermal pedicle flap. In: Aesthetic surgery of the breast. Saunders, Philadelphia. Section 28, p 353Google Scholar
  5. 5.
    Hagerty RC, Hagerty RF (1989) Reduction mammaplasty: central cone technique for maximal preservation of vascular and nerve supply. South Med J 82:183PubMedGoogle Scholar
  6. 6.
    Hester TR, Bostwick J, Miller L, Cunningham SJ (1985) Breast reduction utilizing the maximally vascularized central breast pedicle. Plast Reconstr Surg 76:890PubMedGoogle Scholar
  7. 7.
    Lotsch J (1929) Über Hängerbrustplatik. Klin Wochenschr 7:603Google Scholar
  8. 8.
    Moufarrège R (1990) The total dermoglandular pedicle mammaplasty. In: Anesthetic surgery of the breast. Saunders, Philadelphia, Section 30, p 371Google Scholar
  9. 9.
    Penn J (1960) Breast Reduction II. In: Transactions of the International Society of Plastic Surgeons, Second Congress, London, 1959. Livingstone, Edinburgh, p 502Google Scholar
  10. 10.
    Ramselaar JM (1988) Precision in breast reduction. Plast Reconstr Surg 82:631PubMedGoogle Scholar
  11. 11.
    Skoog T (1963) A technique of breast reduction; transposition of the nipple on a cutaneous vascular pedicle. Acta Chir Scand 126:453PubMedGoogle Scholar
  12. 12.
    Wiener DL, Aiacher AE, Silver L, Tittiranonda T (1973) A single dermal pedicle for nipple transposition in subcutaneous mastectomy, reduction mammaplasty, or mastopexy. Plast Reconstr Surg 51:115PubMedGoogle Scholar
  13. 13.
    Wise RJ (1956) A preliminary report on a method of planning the mammaplasty. Plast Reconstr Surg 17:367PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • R. M. Kappel
    • 1
  • R. Dijkstra
    • 1
  • J. B. Storm van Leeuwen
    • 1
  • P. Houpt
    • 1
  • M. Kuyper
    • 1
  1. 1.Department of Plastic SurgerySophia HospitalZwolleThe Netherlands

Personalised recommendations