Skip to main content

Assessment of NAC sensation after subglandular and subfascial augmentation mammaplasty: a comparative study

Abstract

Background

Breast augmentation is one of the most common plastic surgery operations performed with high patient’s satisfactory results. However, preserving the sensation is an important part of achieving optimum results for patient’s wellness and satisfaction.

Methods

Skin sensation was tested preoperatively using Semmes-Weinstein monofilaments over 5 points on the nipple-areola complex of each breast: one point on the nipple and four points on the areola subdivided into four quadrants. The tactile thresholds were recorded preoperatively with postoperative follow-up at 2, 6 and 12 weeks for all patients undergoing subglandular and subfascial augmentation mammaplasty through the inframammary incision.

Results

Five percent of cases had partial sensory alteration ofNAC after undergoing subfascial augmentation mammoplasty, while 28%of patients who underwent subglandular augmentation had a decrease in NAC sensitivity.

Conclusions

Patients who underwent subfascial augmentation mammaplasty were at a decreased risk of nipple-areola complex sensitivity alteration through the preservation of nerve supply compared to those who underwent subglandular augmentation.

Level of evidence: Level III, risk/prognostic study.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

References

  1. 1.

    Mallucci P, Branford OA (2012) Concepts in aesthetic breast dimensions: analysis of the ideal breast. J Plast Reconstr Aesthet Surg 65(1):8–16

    CAS  Article  Google Scholar 

  2. 2.

    Schlenz I, Rigel S, Schemper ME, Kuzbari R (2005) Alteration of nipple and areola sensitivity by reduction mammaplasty: a prospective comparison of five techniques. Plast Reconstr Surg 115:743–751

    CAS  Article  Google Scholar 

  3. 3.

    Craig RD, Sykes PA (1970) Nipple sensitivity following reduction mammaplasty. Br J Plast Surg 23:165–172

  4. 4.

    Farina MA, Newby BG, Alani HM (1980) Innervation of the nipple-areola complex. Plast Reconstr Surg 66:497–501

    CAS  Article  Google Scholar 

  5. 5.

    Sarhadi NS, Shaw-Dunn J, Soutar DS (1997) Nerve supply of the breast with special reference to the nipple and areola: Sir Astley Cooper revisited. Clin Anat 10(4):283–288

    CAS  Article  Google Scholar 

  6. 6.

    Asaga, Emi, and Kenjiro Takemura. “Tactile evaluation based on human tactile perception mechanism.” Science Direct. 01 Dec. 2013. Web. 27 Mar. 2016

  7. 7.

    Bell-Krotoski JA: “Sensibility testing: history, instrumentation and clinical procedures”, Rehabilitation of the Hand and Upper Extremity, Volume 1, Elsevier Mosby 2011, Chapter 11 Pages 132–145)

  8. 8.

    Hamdi M, Greuse M, DeMey A, Webster MHC (2001) A prospective quantitative comparison of breast sensation after superior and inferior pedicle mammaplasty. Br J Plast Surg 54:39–42

    CAS  Article  Google Scholar 

  9. 9.

    Courtiss EH, Goldwyn RM (1976) Breast sensation before and after plastic surgery. Plast Reconstr Surg 58:1–13

    CAS  Article  Google Scholar 

  10. 10.

    Prado A, Andrades P, Benitez S, Parada F. Aesthetic Plast Surg. 2008 Sep;32(5):748-52. Epub .Areola-nipple perception threshold to faradic electricity: a new measure of sensibility of the breasts

  11. 11.

    Kompatscher P, Schuler C, Beer GM. The transareolar incision for breast augmentation revisited. Aesthetic Plast Surg . 2004;282

  12. 12.

    Brown T (2016) Objective sensory changes following subfascial breast augmentation. Aesthet Surg J 36(7):784–789

    Article  Google Scholar 

  13. 13.

    Ducic I, Zakaria HM, Felder JMIII, Fantus S (2014) Nerve injuries in aesthetic breast surgery: systematic review and treatment options. Aesthet Surg J 346:841–856

    Article  Google Scholar 

Download references

Funding

None.

Author information

Affiliations

Authors

Corresponding author

Correspondence to Ahmed Elnaggar.

Ethics declarations

Conflict of interest

Mohamed Ashraf, Injy Kinawi, Khaled Sadik, Tareq Mahboub and Ahmed Elnaggar declare that they have no conflicts of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The Ethics Committee from the Faculty of Medicine of Cairo University reviewed and approved this study (Ref: CU - I - 220414).

Informed consent

Verbal and written informed patient consent from all individual participants included in the study.

Patient consent

Patient consent Patients signed informed consent regarding publishing their data and photographs.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Ashraf, M., Kinawi, I., Sadik, K. et al. Assessment of NAC sensation after subglandular and subfascial augmentation mammaplasty: a comparative study. Eur J Plast Surg 44, 443–450 (2021). https://doi.org/10.1007/s00238-020-01767-0

Download citation

Keywords

  • Hypomastia
  • Breast atrophy
  • Subfascial augmentation
  • Subglandular augmentation
  • NAC sensation
  • Semmes-Weinstein monofilaments