Nipple Sensation in Reduction Mammoplasty: Review Article

Abstract

Background: Surgery today involves preserving not only tissue viability but also function in terms of sensation. The nipple serves as a sensate unit in erectile function and plays a large part in the physical intimacy of women. Nipple sensation has shown to be a valuable part of women’s psychological and sexual health.

Aim: To review nipple sensation in reduction mammoplasty, with emphasis on the anatomical basis of nipple–areola complex innervation and the influence of different breast reduction techniques on sensory preservation.

Conclusion: Pedicle-based reduction mammoplasty generally provides better preservation of nipple sensation than free nipple grafting, with the medial pedicle showing particularly favorable sensory recovery. Preservation of the fourth intercostal nerve, especially its lateral cutaneous branch, may help guide surgical dissection and improve postoperative nipple–areola complex sensation.