Nipple Sensation After Breast Augmentation

Generally, there is minimal, partial, and usually temporary loss of nipple sensation following breast augmentation. 

I perform most breast augmentation (both above and below the muscle) through the peri-areolar approach, unless a patient has an existing incision in the inframammary fold below the breast, or unless I am using the cohesive gel textured implants, which generally require an incision larger than the diameter of the areola. 

I find that my patients often report a heightened sensitivity of the nipples following breast augmentation, which I believe is due to the fact that the breast and nipple surface area is increased by the presence of the implant. 

Patients can lose sensitivity regardless of the incision approach, however, and I find that patients who have had multiple breast surgeries are more likely to experience loss of sensitivity of the nipple.

There is a real risk of nerve loss after breast augmentation, but this can be ameliorated by careful dissection, inframammary incision placement, and minimal injury to the pectoralis fascia. Discuss these risks with your plastic surgery and ask for a real estimate of risks before you proceed.

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