I'm a guy with a hormonal problem (it's in the process of being corrected)looking to get chest surgery. My "man boobs" are a BIG problem and from what I've been told are approximately an F cup size. There is a lot of breast tissue and I do want surgery but not if there is a high risk of losing sensation (I can tolerate the compression vests). So, given that information, how high likely am I to lose or reduce nipple sensation, and about how long would it take to regain maximum sensation?
What Are the Chances of Full Sensation After Massive Gynecomastia Surgery?
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Sesation loss after Gynecomastia Surgery
You should consult an experienced board certified plastic/gynecomastia surgeon. See his web sites and his many before and after pictures, and if it is not necessity to perform nipple grafting(I have never had to performed nipple grafting in all my 30 years in practice,including for the very sever cases of gynecomastia) which may be in your case. The long term impact on your sensation may not be major, about 10% chance for a sbstential reduced sensation.
Risk of Sensation Loss following Gynecomastia
Chances are very likely that you will loose erogenous sensation but have a reasonable chance of recovering protective sensation after significant gynecomastia surgery. For most men the surgery is worth it and few complaints about this loss of sensation occur, quite the opposite situation for most women.
Loss of sensation in male breast reduction (gynecomastia repair)
In all likelihood, it is probable that you will lose nearly all sensation to the nipples with a full correction of your gynecomastia. Some cutaneous sensation and deep pressure sensitivity (not true nipple sensation) may recover over a two year period.
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Without evaluating you it is hard to say. If you have rather large breasts, some surgeons would do a free nipple graft type of resection and then you definitely would lose sensation. Even if you have a "pedicled' type reduction, you can lose sensation.
Sensation after large Gynecomastia removal
You will require a total mastectomy with nipple transplant. This entails removing the nipple/areola, doing a mastectomy (just like for cancer in women), and then replacing the nipple back on the chest as a skin graft in the proper position. The difference between this and a cancer operation is that not as much tissue is removed and the surface of the skin can be left smooth and even. The nipple complex usually grows back normally. The residual skin retains its normal sensation. The nipple, since it was cut totally free, will be insensate until the nerves from the underlying skin grow into it. This takes several months to a year. By then, however, sensation is usually back to near normal, particularly if you do some sensibility reeducation exercises.
Nipple Sensation Retention would depend on the TYPE of Man Boob Surgery required
Many men, including teens, are too ashamed of their overdeveloped breasts to take off their shirt at the beach. The common condition known as gynecomastia (Greek for "womanlike breasts") is characterized by enlarged breast tissue. The surgery can now be performed through a small incision under the nipple and it is also possible to have gynecomastia correction as an outpatient procedure under twilight anesthesia administered by a board certified anesthesiologist.
Problems one may experience after this surgery include skin loss at the incision sites, permanent pigment changes in the breast area, and slightly mismatched breasts or nipples, which can be easily fixed through a second procedure.
Another possible complication is "saucer deformity", a craterlike irregularity that can result from poor liposuction technique or poor healing ability. You should consult a board-certified plastic surgeon who is professionally bound to engage only in techniques that have been deemed safe- after rigorous testing.
But, I would say you are very likely to loose nipple sensation. If you are really that large, you may require skin excision and a nipple graft -- so I doubt you would have nipple sensation.
chances of full sensation after massive gynecomastia
Very limited but anything is possible. Have you seen any plastic surgeons? In person evaluations are necessary. Best of luck from MIAMI DR. B
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