Long-term Evaluation of Nipple Areolar Complex Changes in Inferior versus Superomedial Pedicle Reduction Mammoplasty: a Comparative Study

Abstract Background In breast reduction, traditionally the inferior pedicle-based (IFP) technique is considered the most performed by plastic surgeons. A growing interest for the supero-medial based pedicle (SMP) mammoplasty technique has been documented in literature and clinical practice. Sensory recovery of the Nipple Areolar Complex (NAC), final areolar shape and scarring may also have a significant impact on patient satisfaction. Objective This study represents a retrospective multimodal analysis comparing NAC sensation and appearance outcomes in IFP and SMP wise pattern breast reductions with 2 years follow-up. Methods From 2013 to 2017, all performed reduction mammoplasty were included and divided in two groups (IFP or SMP technique). Testing included pressure perception (Semmes-Weinstein monofilaments), NAC measurement (diameters ratio and circumference) and circumareolar scar hypertrophy assessment. Measurements were repeated at 2 weeks, 6 months and 24 months post-op. Results Among the 73 patients, 42 (58%) had SMP technique and 31 (42%) had IFP technique. Values at 6-months showed better sensory return in the SMP (p Conclusion This 2-year follow-up study showed little difference in outcomes between the two techniques, but some advantages in NAC sensory recovery with the SMP.