1 Volume 2017; Issue 04 Plastic Surgery and Modern Techniques Research Article Helmy Y. Plastic Surgery Mod Tech 2017: PSMT-118. Nipple and Areola Complex Sensitivity Changes after Peri-areolar and Inframammary Incisions for Augmentation Mammoplasty (A Comparative Study) Yasser Helmy * Faculty of Medicine, Al-Azhar University, Naser City, Cairo, Egypt * Corresponding author: Yasser Helmy, Faculty of Medicine, Al-Azhar University, Naser City, Cairo, Egypt. Tel: +00201004406331; Fax: 0020238376114; E-Mail: dryasserhelmy@gmail.com Citation: Helmy Y (2017) Nipple and Areola Complex Sensitivity Changes after Peri-areolar and Inframammary Incisions for Augmentation Mammoplasty (A Comparative Study). Plastic Surgery Mod Tech 2017: PSMT-118. Received Date: 16 May, 2017; Accepted Date: 26 May, 2017; Published Date: 3 June, 2017 Abstract Background: Many recent studies are evaluating the aesthetic and adverse outcomes of breast implants with little attention for the skin and nipple sensitivity changes. The purpose of the study is to estimate the incidence of the sensation changes in the nipple and areola skin in patients receiving silicone gel implants, through the two common approach sites. Materials and Methods: I used 30 pairs of silicone implants for primary retro glandular breast augmentation in 30 patients. The study is designed, after surgery, into two groups, in prospective postoperative follow up. 15 patients who were submitted for peri-areolar incision, (group 1) and 15 patients who were submitted to inframammary incision, (group2). Follow up was done for one year postoperative. The sensation changes were evaluated objectively and subjectively and compared pre-and post- surgery. Results: The incidence of sensitivity changes in both approaches were 6.6% in group 1, (3.3%) of total numbers of subjects, while they were 10% in group2 (6.6%) of total numbers of subjects. The average resembles 8.3%, at 4 weeks and 6 months. Then this incidence was lowered in both groups at one year to be 0% and 3.33%. Conclusions: We conclude that, the incidence of nipple and areola skin sensitivity changes is low and almost regained by one year to be 1.66%. Fewer incidences of sensation changes were found when the site of incision is peri-areolar. Keywords: Breast; Objective; Sensory Assessment; Subjec- tive; Surgical Approaches Introduction The preservation of sensitivity of the nipple-areola com- plex in the breast augmentation is an important achievement in breast surgery. Breast augmentation is one of the most common surgery procedures worldwide. Since many decades, Silicone-gel implants with different manufacturing generations have been used for breast augmentation [1]. Silicon flled-gel implants have been developed using updated technologies for size, shape, texture, and shell layers [2,3]. Planes of implant insertion, operative techniques and adverse outcomes, especially capsular contracture, have been investigated in literature, but few studies have been concerned with post-operative nipple and skin sensitivity changes [4]. This study reports and compares the incidence of changes in nipple and areola skin sensation, in patients receiving silicone gel implants, in retro-glandular plane, through the two common incision sites, sub mammary and peri-areolar, for primary breast augmentation. The importance of this study is to add some objec- tive observations which haven’t been described in literature for the sensitivity of the nipple and areola. Literatures are describing subjective assessments of the sensitivity of the nipple and areola, even in large series recent study [5]. The sensitivity of the nipple is important as an indicator for woman for the ability of her nipple to become erect, sexually satisfed and has erogenous sensation. This makes sense in women satisfaction and self-image, in addition to the pathway for milk ejection refex. Subjective evaluations for