Breast Reduction Without Nipple Trauma Possible?

I am the lady with the 40I breasts! Even though I desperately need a reduction! The thought of having no sensation & reconstructed nipples is VERY upsetting! Why does there need to be such trauma to the breast, in particular the nipple? The whole procedure sounds almost like a mastectomy! I have seen some pictures where the breasts have very little scarring & others with Lots of scars and dips where the scar is (the lollipop). Do doctors insist on reconstructing areolas, or is it up to patient?

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4 Doctor Answers | Asked by bambi27

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Avoiding nipple trauma during breast reduction

You are a 40 I. I have reduced breasts as large a a M without injuring the nipple. The technique is called the Ultimate Breast Reduction, which is based on the principle of breast weight transfer to the underlying muscle. The breast is reduced and reshaped, nipple sensation is preserved and the ability to breast feed is maintained. This technique avoids the vertical scarring of the llollipop or boat anchor incisions. Best of Luck, Gary Horndeski, M.D. more

Large Breast reduction without impairing nipple sensation

See one or more experienced, board certified plastic surgeons if possible and get their recommendations on the type of procedure they would perform and the risks involved. Many very large breasted women have had reductions without losing nipple sensation and with very satisfactory scars. All surgeries have some risk and because of individual anatomy and many other factors it is impossible to guarantee that your nipple sensation will not be affected. If the distance between... more

Nipple Trauma and Breast Reduction

A breast reduction is not just a removal of the extra breast tissue but also a reshaping of the breast to achieve a more natural and aesthetic result. Part of this reshaping process almost always requires that the nipple be elevated and re-positioned at the appropriate place for the new size of the breast after the reduction. Most often this can be accomplished without having to remove the nipple from the breast and so the possibility of maintaining sensation exists.... more

Can always get what you want

A breast reduction includes reducing the breast size and lifting the breast. The lifting part requires moving the nipple north and because of blood flow compromise in reducing a huge breast, it is possible to lose the nipple entirely and the sensation even if the nipple survives. Not that the surgeons are trying to hurt the nipple, it is just simple anatomy. You might also need a free nipple graft which will for sure make the nipples look somewhat odd and they will have no... more