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Anatomy of the Breast: A Clinical Application

  • Moustapha Hamdi
  • Elisabeth Würinger
  • Ingrid Schlenz
  • Rafic Kuzbari
Chapter

Abstract

The epidermis of the nipple and areola is highly pigmented and somewhat wrinkled, and the skin of the nipple contains numerous sebaceous and apocrine sweat glands and relatively little hair. The 15–25 milk ducts enter the base of the nipple, where they dilate to form the milk sinuses. Slightly below the nipple’s surface, these sinuses terminate in cone-shaped ampullae. The circular areola surrounds the nipple and varies between 15 and 60 mm in diameter.

References

  1. 1.
    Cooper AP. On the anatomy of the breast. London: Longman, Orme, Green, Brown and Longmans; 1840.Google Scholar
  2. 2.
    Eckhard C. Die Nerven der weiblichen Brustdrüse und ihr Einfluß auf die Milchsekretion. Beitr Anat Physiol. 1851;1:1–9.Google Scholar
  3. 3.
    Addison C. Ellis’s demonstrations of anatomy. 12th ed. London: Smith Elder; 1905.Google Scholar
  4. 4.
    Hamilton WJ. Textbook of human anatomy. 2nd ed. London: Macmillan; 1966.Google Scholar
  5. 5.
    Woodbourne RT, Burkel WE. Essentials of human anatomy. 9th ed. Oxford, UK: Oxford University Press; 1994.Google Scholar
  6. 6.
    Brash JC, Jamieson EB, editors. Cunningham’s textbook of anatomy. 8th ed. Oxford University Press: London; 1943.Google Scholar
  7. 7.
    Maliniac JW. Arterial blood supply of the breast. Arch Surg. 1943;47:329.CrossRefGoogle Scholar
  8. 8.
    Maliniac JW. Breast deformities and their repair. New York: Grune and Stratton; 1950. p. 14.Google Scholar
  9. 9.
    Massopust LC, Gardner WD. Infrared photographic studies of the superficial thoracic veins in the female. Surg Gynecol Obstet. 1950;91:717.PubMedGoogle Scholar
  10. 10.
    Craig RD, Sykes PA. Nipple sensitivity following reduction mammaplasty. Br J Plast Surg. 1970;23:165.CrossRefPubMedGoogle Scholar
  11. 11.
    Edwards EA. Surgical anatomy of the breast. In: Goldwyn RM, editor. Plastic and reconstructive surgery of the breast. Boston: Little, Brown; 1976.Google Scholar
  12. 12.
    Serafin D. Anatomy of the breast. In: Georgiade NG, editor. Reconstructive breast surgery. St Louis: Mosby; 1976. p. 18.Google Scholar
  13. 13.
    Farina MA, Newby BG, Alani HM. Innervation of the nipple-areola complex. Plast Reconstr Surg. 1980;66:497.CrossRefPubMedGoogle Scholar
  14. 14.
    Haagensen CD. Anatomy of the mammary glands. In: Haagensen CD, editor. Diseases of the breast. 3rd ed. Philadelphia: Saunders; 1986.Google Scholar
  15. 15.
    Williams PL, Warwick R, Dyson M, Bannister LH, editors. Gray’s anatomy. 37th ed. Edinburgh, UK: Churchill Livingstone; 1989.Google Scholar
  16. 16.
    Sandsmark M, Amland PF, Abyholm F, Traaholt L. Reduction mammaplasty: a comparative study of the Orlando and Robbins methods in 292 patients. Scand J Plast Reconstr Hand Surg. 1992;26:203.CrossRefGoogle Scholar
  17. 17.
    Nakajima H, Imanishi N, Aiso S. Arterial anatomy of the nipple-areola complex. Plast Reconstr Surg. 1995;96:843.CrossRefPubMedGoogle Scholar
  18. 18.
    Sarhadi NS, Dunn JS, Lee FD, Soutar DS. An anatomical study of the nerve supply of the breast, including the nipple and areola. Br J Plast Surg. 1996;49:156.CrossRefPubMedGoogle Scholar
  19. 19.
    Jaspars JJ, Posma AN, van Immerseel AA, Gittenberger-de Groot AC. The cutaneous innervation of the female breast and nipple-areola complex: implications for surgery. Br J Plast Surg. 1997;50:249.CrossRefPubMedGoogle Scholar
  20. 20.
    Bland KI, Copeland EM III (eds) (1998) Anatomy and physiology of the normal and lactating breast. In: The breast: comprehensive management of benign and malignant diseases, vol 1, 2nd edn. Saunders, Philadelphia, p 19Google Scholar
  21. 21.
    Würinger E, Mader N, Posch E, Holle J. Nerve and vessel supplying ligamentous suspension of the mammary gland. Plast Reconstr Surg. 1998;101:1486.CrossRefPubMedGoogle Scholar
  22. 22.
    Lockwood T. Reduction mammaplasty and mastopexy with superficial fascial system suspension. Plast Reconstr Surg. 1999;103:1411.CrossRefPubMedGoogle Scholar
  23. 23.
    Würinger E. Refinement of the central pedicle breast reduction by application of the ligamentous suspension. Plast Reconstr Surg. 1999;103:1400.CrossRefPubMedGoogle Scholar
  24. 24.
    Hamdi M, Greuse M, DeMey A, Webster MHC. Breast sensation after superior pedicle versus inferior pedicle mammaplasty: prospective clinical evaluation. Br J Plast Surg. 1999;54:39.CrossRefGoogle Scholar
  25. 25.
    Schlenz I, Kuzbari R, Gruber H, Holle J. The sensitivity of the nipple-areola complex: an anatomic study. Plast Reconstr Surg. 2000;105:905.CrossRefPubMedGoogle Scholar
  26. 26.
    Hamdi M, Greuse M, Nemec E, Deprez C, DeMey A. Breast sensation after superior pedicle versus inferior pedicle mammaplasty: anatomical and histological evaluation. Br J Plast Surg. 2001;54:43.CrossRefPubMedGoogle Scholar
  27. 27.
    Wueringer E, Tschabitscher M. New aspects of the topography of the mammary gland regarding its neurovascular supply along a regular ligamentous suspension. Eur J Morphol. 2003;40(3):181.CrossRefGoogle Scholar
  28. 28.
    Hamdi M, Van de Sijpe K, Van Landuyt K, Blondeel PN, Monstrey S. Evaluation of nipple-areola complex sensitivity after the latero-central glandular pedicle technique in breast reduction. Br J Plast Surg. 2003;56:360.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany 2018

Authors and Affiliations

  • Moustapha Hamdi
    • 1
  • Elisabeth Würinger
    • 3
  • Ingrid Schlenz
    • 2
  • Rafic Kuzbari
    • 4
  1. 1.Professor and Chairman, Department of Plastic and Reconstructive SurgeryBrussels University Hospital – Vrij Universiteit Brussel (VUB)BrusselsBelgium
  2. 2.Wilheminenspital, Department of Plastic and Reconstruction SurgeryViennaAustria
  3. 3.Plastic Surgery DepartmentBrusselsBelgium
  4. 4.Associate Professor of Plastic SurgeryKuzbari Center of Aesthetic MedicineViennaAustria

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