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Surgery Journals | Surgery Articles | Journal of General Surgery | High Impact Articles | Scient Open Access
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Journal of General Surgery

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Perspective Article

Preserving Nipple Areolar Complex Sensitivity in Augmentation Mammaplasty

Talal Al Hetmi, Salim Al Lahham, Saif Badran, Ruba Sada, Rehan Zahid, Ahmed Mofeed Mokhalalati, Shyias Mohammedali, Mutaz Abuelgasim and Ahmed AlQahtani

Correspondence Address :

Salim Al Lahham
Plastic surgeon
Hamad medical corporation
Qatar Hand
reconstructive and microsurgery fellowship
Ganga hospital, India
DAFPRS facial reconstructive surgery fellowship
Netherlands
Tel:+97430197754
Email: sal_lah@hotmail.com

Received on: February 15, 2019, Accepted on: February 26, 2019, Published on: March 04, 2019

Citation: Talal Al Hetmi, Salim Al Lahham , Saif Badran, Ruba Sada, Rehan Zahid ,Ahmed Mofeed Mokhalalati, Shyias Mohammedali, Mutaz Abuelgasim and Ahmed AlQahtani (2019). Preserving Nipple Areolar Complex Sensitivity in Augmentation Mammaplasty.

Copyright: 2019 Salim Al Lahham et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Background: Nipple sensitivity is an important character in the females breast, this sensitivity is important for both female sexual function as well as for lactation, In our study we are addressing the effect of primary breast augmentation surgery, using breast implants in the sub glandular plane through an inframammary incision, on the sensitivity of the nipple area.
Methods: Data collection from files of 75 patients regarding the examination of the nipple sensation before and after the surgery. Data include the examination of the nipple sensitivity before surgery and on three occasions after surgery: at one-week post surgery, one-month post surgery and six months follow up.
Results: All our surgeries were bilateral breast augmentation on both sides. The sensation in the first-week post surgery was normal in 94.7% (71 out of 75), and the remaining 4 patients had a feeling of persistent numbness and weak sensation in either one or both sides of the breast. At the one-month post-surgery only one patient had persistent weak sensation with the other 98.6% of the patient had normal light touch examination in both breasts. At the 6 months follow up visit all our patient (100%) had normal sensation in both breasts.
Conclusion: Primary breast augmentation surgery, using silicon implant in the sub glandular plane through an inframammary incision, is a safe surgery regarding preservation of the nipple-areolar region. In rare cases, nipple-areolar complex numbness and alteration of sensation can happen but usually regained gradually over the period of few months.
Careful attention is mandatory by the plastic surgeons to inform their patient about this rare possibility of this significant complication in order to obtain a better-informed consent and to maintain a proper follow up in these cases.