Reduction mammaplasty improves breast sensibility

The belief that breast hypesthesia is an expected consequence of reduction mammaplasty is based on past reports that failed to objectively quantify br east sensibility. Forty-five women undergoing reduction mammaplasty by one plastic surgeon using a single operative technique were followed prospectiv ely for change in breast sensation. Pressure threshold measurements were ta ken preoperatively and at 2 and 6 weeks postoperatively, by using Semmes-We instein monofilaments. Areas tested included the nipple, four points on the areola, and four points 1 cm from the areola on the breast skin. The data were nonparametric and were analyzed by using the Wilcoxon signed rank test . For all areas tested, sensation significantly improved from preoperativel y to 2 weeks (i.e., nipple: 33.1 versus 29.3, p < 0.0004) and again from 2 to 6 weeks (i.e., nipple: 29.3 versus 19.3, p < 0.002). Relief of chronic n erve traction injury is conjectured as the reason for sensibility improveme nt. Numb nipples persisted in 2 percent of breasts at 6 weeks.