Nipple-Areola Complex Sensitivity After the Section of Periareolar Dermis in Breast Reduction

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the feasibility and sensitivity of nipple-areolar complex (NAC) prospectively due to the section of the dermis after decortication (Schwartzmann's maneuver), in 50 patients undergoing breast reduction surgery.

Detailed Description
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Preservation of the dermis after decortication regions of the areola and periareolar is considered relevant by most plastic surgeons. In patients whose CAP should be mobilized through large distances in order to correct breast ptosis, or in cases of dense breasts where noted little slip of skin over the breast parenchyma, the periareolar dermis causes limitation on the mobility of the NAC. In clinical practice, there is a greater mobilization of NAC when making a careful section of the dermis after decortication. In contrast, the appearance of partial necrosis in these cases has become a rarity, as no case of total necrosis was observed. Given the technical benefit observed due to greater mobilization, there is no report in the literature about how behaves the sensitivity of the NAC in these cases. To evaluate the sensitivity of the NAC will be used Semmes-Weisnstein's monofilament. Each point will be obtained five measurements. The largest will be scorned and the lowest value. The final value of each point corresponds to an arithmetic mean of the three remaining values.

Conditions
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Sensitivity of Nipple-areolar Complex

Intervention / Treatment
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* Procedure: Section of Periareolar Dermis in Breast Reduction.


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who willingly seek the service requesting breast reduction or mastopexy; Patients who after consultation with the surgeon who led the research presents realistic expectation, being safe with the possible outcome of the surgery; Patients who undertake to comply with the protocol previously presented and discussed with them; Exclusion Criteria: Patients with prior breast surgery; Patients with body mass index (BMI) greater than 34.9; Patients with severe anemia; Patients with neurological disease; Patients with impairment cardiovascular; Metabolic diseases - diabetes; Patients with autoimmune disease; Menopausal patients Patients with collagen disease; Patients with psychiatric disorders.

Ages Eligible for Study
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Minimum Age: 21 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Section of Periareolar Dermis<br>Section of Periareolar Dermis | Procedure: Section of Periareolar Dermis in Breast Reduction.<br> <br> * Other names: Decortication;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Nipple-Areola Complex (NAC) Sensitivity | To evaluate the sensitivity of the NAC in breast reduction | 3 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Nipple-Areola Complex (NAC) sensitivity | To evaluate the sensitivity of the NAC in breast reduction | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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sensitivity, section of periareolar dermis, breast reduction