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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 postsurgery. 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.

Nipple and Areola Complex Sensitivity Changes after Peri-areolar and Inframammary Incisions for Augmentation Mammoplasty (A Comparative Study)