When Will Nipple Sensation Return After Lipo for Male Breast Reduction?

I had liposuction for male breast reduction 3 months ago. I had liposuction for the treatment of gynecomastia, i had fat removed but no gland, 3 months later I still have a little bit of tenderness in the lower pectorial area, altought the pain feels superficial, that does not bother me as much as the loss of feeling in my nipple area (numbness).

My sex life has been abit duller since, because when my girlfriend pinches my nipple(s) during foreplay it usually arouses me ;)... i am wondering if the sensation will ever return, or has the nerve been damaged?? is there any ointments or supplements i should have been taking during the post-op recovery time??? if anyone has any advice i would love to hear from you.......from Bra Boy

Doctor Answers (11)

When will nipple sensation return after lipo for male breast reduction?

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Hello! Thank you for your question! Numbness after any surgical procedure is expected for several weeks to months following. As the nerves to the area are traumatized and will then experience a temporary neuropraxia, a transient loss of nerve conduction. This usually resolves over the next 6-12 weeks, but depending on the procedure performed, sometimes much longer. Typically this should resolve by 1 year. As it goes past this date, the likelihood of the sensation returning is small. However, it can take up to 2 years. If no return from there, it is unlikely to return. It should be discussed that persistent sensory changes may develop following any surgical procedure.

The usual signs of the nerves regenerating and neuropraxia resolving is itching, followed by a burning sensation and then occasional sharp, shock-like pains. These will be normal to experience, and actually a promising sign. Usually, normal sensation returns, but is is also possible to have decreased sensation or even increased sensation to the areas affected. Re-educating nerves postoperatively is often helpful and will allow proper instruction for the affected sensory nerves - methods include using different textures to the affected areas when showering, bathing, applying lotion, etc. If bothersome, there are some medications that may be helpful, including Neurontin for pain for hypersensitivity. You can try various textures such as washcloths, loofahs, cotton sheets, etc. Massaging the areas is also beneficial for the incision to make the finest scar possible. The last place to regain the sensation will be directly adjacent to the incision/scar as the nerves will make its way from the periphery to this location. If continual pain arises, evaluation is warranted. After ruling out other causes, one rare explanation may be that a neuroma has developed and may require surgical excision. This is very unlikely unless a large sensory nerve has been transected inadvertently during the procedure. Hope that this helps! Best wishes!


Scottsdale Plastic Surgeon
5.0 out of 5 stars 12 reviews

Numbness in Nipple May Take 6-12 Months to Resolve Following Gynecomastia Surgery

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                  It’s not unusual to have numbness following liposuction of the chest. During this procedure the nerve fibers are often traumatized and stretched by the liposuction canula.

                  In the vast majority of patients this is a temporary phenomena that resolves within six to twelve months of surgery. In many cases patients develop unusual tingling sensations called dyesthesias when nerves start to recover. It’s important to be patient, since most cases of numbness recover with time.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 75 reviews

Diminished nipple sensation after gynecomastia liposuction

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Whenever the tissues are traumatized, there can be a change in sensitivity, either less or hypertensitivity. This should diminish over time, as will the tenderness. You have a neuropraxia. Keep the scar moistened and apply sun screen when you are exposed to the sun. There are no ointments or supplements necessary. If you have further concerns, please don't hesitate to speak with your plastic surgeon.

Robert L. Kraft, MD
New York Plastic Surgeon
5.0 out of 5 stars 11 reviews

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Should improve

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Liposuction only usually doesn't damage the tissue as much as cutting.  I would suspect it to return to near normal in time.  However, if smart lipo was performed the heat may cause a little more injury.  I would give it time and it is still a risk that sensation change may occur.

Miguel Delgado, Jr., MD
San Francisco Plastic Surgeon
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Nipple sensation and tenderness after gynecomastia

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It is very early after the surgery,but as a role your sensation should improve with time and the numbness,tenderness should improve as well.Just be patience tell us what will happand in a year and after.

Mordcai Blau, MD
New York Plastic Surgeon
4.5 out of 5 stars 30 reviews

Nipple sensation returns in 6 to 12 months.

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Hi.

This is really common after male breast reduction. Sensation almost always returns, but it can take a long time.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Return of nipple sensation after liposuction

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It is possible to experience a decrease or absence of nipple sensation after liposuction for the correction of time to master. This may be caused by some temporary or permanent damage to the nerves that exit from between the ribs and innervate your nipple. If these nerves have been stretched, the sensation will return in time. However, if these nerves have been cut completely, your sensation may never return. Discuss your concerns with your plastic surgeon in review the technique that they used and what areas of your breast they work in.

Pat Pazmino, MD
Miami Plastic Surgeon
4.5 out of 5 stars 65 reviews

Nerve regeneration after male breast reduction is a slow process

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Dear bra boy,

Nipple numbness is rare but possible after liposuction for gynecomastia. Give the nipple at least 6-12 months to recover. Nerve regenerate slowly. Keep following up with your surgeon to guide your recovery.

Dr. ES

Earl Stephenson, Jr., MD, DDS
Atlanta Plastic Surgeon
5.0 out of 5 stars 8 reviews

Nipple Sensation After Gynecomastia Surgery

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Typically gynecomastia surgery involves liposuction of the entire chest followed by excision of breast tissue under the nipple areola complex. The removal of the breast tissue is necessary because liposuction will not remove the breast tissue.

Nipple sensation is usually lost because of the removal of the breast tissue which contains the nerves. Liposuction alone will cause a neuropraxia or cause the nerves to "go to sleep" for a while. Sensation almost always returns to a near preoperative state but this may take 6-8 months. Time will heal.

Christopher L. Hess, MD
Fairfax Plastic Surgeon
5.0 out of 5 stars 17 reviews

Gynecomastia

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With liposuction alone your sensation will most probably come back . It may take one year.

It is not unusal to have numbness after liposuction.

Samir Shureih, MD
Baltimore Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.