Breast Reduction: Q&A
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After Having a Breast Reduction, What Are the Visual, Not Physical Differences in Having a Free Naple Graft Vs Not Having One?
Breast Reduction
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breastquestion
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Difference between free nipple graft and a regular reduction?
The difference visually is loss of pigment and projection with a free nipple graft, the nipple also losses sensation in terms of physical symptoms and changes, I rarely perform them but sometimes they are neccesary for extremely large breasts.
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Free Nipple Graft Does Cause Physical Changes
The most significant physical changes associated with a free nipple graft are the potential permanent loss of pigment in the nipple areolar region, loss of nipple projection and loss of sensation. The pigment loss is more significant the darker the areolar and is permanent. Tatooing is not that effective postop. The loss of nipple projection is also permanent because the nipple has to be thinned to allow it to survive. The loss of sensation sometimes returns in some...
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Free Nipple Graft Breast Reduction Differences
Free nipple graft breast reduction is sometimes necessary for extremely large reductions (3kg per side or more). The nipples can have decreased pigmentation that is particularly visible in an African American females. The hypopigmentation can be improved with post operative nipple tattooing. They also result in nipples that lack projection. I do everything possible to safely avoid requiring free nipple grafts in my breast reduction patients to avoid these undesirable...
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Free Nipple Graft Visual Differences
Free nipple graft in the best of circumstances may have a little bit of pigment change, but most methods of breast reduction can usually account for tremendous size reduction without performing a free nipple graft.
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Free nipple graft - don't do it
Hello and thanks for your question. I was originally trained in residency in performing free nipple grafts, but I have yet to actually do this in private practice as I never liked the results of it. It would take a very unique presentation for me to consider a free nipple graft as necessary. As a colleague of mine has stated, she would rather see it start to die then to take it off immediately! Removing the nipple comepletely from its blood supply turns the tissue...
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Free nipple grafting
Free nipple grafting is almost never a needed technique in breast reduction surgery. With older patients with very large breasts it may be a good option but the lose of sensation, projection, pigmentation and the ability to lactate make it poor choice for most women seeking breast reduction. If a free nipple graft has been recommended to you I would consider getting another opinion prior to proceeding. Also I would suggest you ask to see before and...
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Free nipple graft is a problem for breast reduction
With current techniques for breast reduction, free nipple grafting is not necessary and will have side effects most will wish to avoid. Beside the loss of nipple sensation, the nipple is prone to lose color or pigmentation, and will also lose contractile function. Lactation after breast reduction can be significantly reduced, but for those who have had a nipple graft lactation is zero. Several more consults might be in your interest.
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Free Nipple Graft In Breast Reduction
I prefer not to perform reductions using free nipple-areolar grafts in nonsmokers. In addition to a permanent loss of sensation, there can also be a loss of pigment especially in African-American patients.
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FNG BR
With a Free Nipple Graft (FNG) there is often less projection of the nipple (flatter) and a longer healing interval as compared to a pediculed procedure. Because of the loss of nipple sensation many patients prefer not to undergo FNG Breast Reductions. Best,
Gary Culbertson, MD, FACS
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Appearance of Free Nipple Graft Breast Reduction depends on the patient's skin type
BreastQuestion: As a resident in Texas we routinely used free nipple graft breast reduction techniques for patients who a) had gigantomastia, where the distance between the nipple and collar bone was greater than 32cm; b) required a shorter operative time because of their medical history. The results were generally very acceptable, with one caveat: when the nipple is taken off the breast as a full thickness skin graft and applied as a free nipple graft, it generally looses its pigment,...
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Very few women need free nipple graft breast reduction.
Hi
If done with a good artistic eye, free nipple graft breast reduction can look great, but you lose all erotic sensation. How the breasts look depends on the surgeon, not on the technique.
see video
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Free nipple/areola graft
You should expect decreased nipple projection along with some loss of areola nipple color
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Free nipple grafts are required when the nipple does not have an adequate blood supply following breast reduction.
Free nipple grafts are required when the nipple does not have an adequate blood supply following breast reduction. This procedure is more commonly required in patients with larger breast or with longer distances from the fold underneath the breast to the nipple. The two most common aesthetic side effects to free nipple grafting are loss of projection of the nipple and loss of pigmentation in the skin of the areola. The loss of pigmentation can be partial or complete and is very...
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Sugar Land Plastic Surgeon
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