Unilateral Sensation Loss of the NAC After Superomedial Pedicle Reduction Mammaplasty

Superomedial pedicle reduction mammaplasty has become the most preferred technique in our clinic. While performing the technique, the surgeon can predict the final breast volume and shape, as well as limit sensation loss of the nipple-areola complex (NAC).1 Another advantage of this procedure is the improved long-term projection of the breast. Moreover, the technique obtains younger-looking breasts with elevated inframammary folds.1 A total of 40 patients were operated by using superomedial pedicle reduction mammaplasty technique last year in our clinic. However, sensation loss of the NAC has not been reported except one patient. The aim of this letter is to report a unilateral sensation loss of the NAC of a patient who underwent reduction mammaplasty by using superomedial pedicle technique. A 33-year-old female patient without any systemic disease was admitted to our clinic with macromasty (Figure 1a). Her body mass index was 27 kg/m2. The distance between the sternal notch-to-nipple was 30 cm in right breast, and 31 cm in left one before the surgery. The classical superomedial pedicle reduction mammaplasty was performed. A total of 310 g soft tissue was removed in right breast, and 315 g in left one. The NAC transposition was 10 cm in right breast and 11 cm in left breast. No complication was occured during or after the surgery such as hematoma, infection, seroma, wound healing problem or NAC necrosis.