Numbness after breast implant exchange

I had my breast implants exchanged (and 4th degree contraction scars removed) 6 weeks ago and I have total numbness over 75-80% of both breasts.  The new implants are 325 cc silicone and are larger than the original. My first surgery was 31 years ago. 

What is causing this numbness and is there anything that I can do to enhance recovery of the nerves? If the feeling does not return, is there anything that can be done?

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10 answers to “Numbness after breast implant exchange”

A: Nothing to do about numbness

Sam Jejurikar, MD

Hi, Given your significant capsular contracture, your surgeon undoubtedly had to remove a thick layer of capsule from the undersurface of the skin.  This can be a relatively tedious dissection and there often times there is thermal injury to the sensory nerves to the breast skin and nipple from the... more

A: Numbness after implant exchange

Richard P. Rand, MD

There is a small possibility of numbness after any breast surgery and it is higher the more that is done.  Usually it returns well over many months.  You might try massage and B complex vitamins, otherwise time is your best ally. 

A: Numbness after breast implant exchange

Peter A. Aldea, MD

Numbness can be seen after almost all cosmetic breast procedures but especially those involving implant placement, rearrangement or removal. The nerve supplying the nipple area is a branch of a sensory nerve running under a rib which makes its way from under the rib to the side of the breast goes in and it... more

A: Sensory changes are not predictable with breast surgery

Michael A. Bogdan, MD

Any time that your breasts are operated on, you are taking a risk of altering or loosing sensation to the breast skin or nipple.  Breast procedures that rearrange tissue or remove tissue are at higher risk for loosing sensation.  In your case, it sounds like you had a very firm scar capsule around... more

A: Numbness can be from many reasons

John P. Di Saia, MD

Hello, If your numbness is from the tissue just being re-arranged, at least some of the sensation should come back. If it is from nerves that were removed with the scar capsules it will not. The process of healing can take weeks to months. See if your surgeon has any information from your surgery to help... more

A: Doing something about numbness

Sutton Graham II, MD

Sgrizzard:  The numbness is caused by the presence of many tiny nerves coursing through the tissue that was removed in order to treat your prior implant area hardening (capsular contracture).  The treatment requires the surgeon to work beyond the limits of the original breast pocket.  The... more

A: It will take time for the sensation to improve

David Shafer, MD

It sounds like you had very significant contractures which required extensive surgery to remove the scar tissues. Undoubtedly, the sensation nerves were entrapped in the scar tissue and were likely severed during the resection. This is not a "complication" per se, because the whole reason for the surgery was... more

A: Nerve Injury

Scott E. Kasden, MD

Your numbness is a direct result from the surgery.  Most likely you had a capsulectomy, which is a removal of the thick, hard, scar tissue suruounding the old implants, and resulted in the contracture. During the procedure, the scar tissue is excised, and some tiny nerves that provide sensation to the... more

A: Be patient

Robin T.W. Yuan, MD

First of all,there is not much you can do about the numbness so worrying about it is not going to make it go away. You are also fairly soon after your procedure so loss of sensation is expected after repeat operation and takes time to recover. Numbness generally will lessen, not worsen, so be patient. However... more

A: Usually sensation returns.

George J. Beraka, MD

Hi!   It sounds like you had extensive surgery with a total or sub total capsulectomy (removal of the internal scar tissue).  So it is not surprising that the nerves to the breast skin and to the nipples may have been bruised or stretched.  But they almost always recover and sensation comes... more

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