I am considering a breast augmentation with a nipple incision. My nipples are very sensitive now and I would like to loose nipple sensitivity permenently (I can not even handle them being touched right now). I have 4 children with A cup breasts. What is the likely hood i will loose sensitivity? Is a nipple incision the best likly hood to loose sensitivity?
What is the Likely Hood I Will Lose Nipple Sensitivity with a BA, Nipple Incision? (photo)
Doctor Answers (14)
What is the Likely Hood I Will Lose Nipple Sensitivity with a BA, Nipple Incision?
Reading your question a few times I understand you want to lose the N/A sensitivity. Correct? Than by all means use the periareolar incision, this may help in decreasing the feeling in your N/A complexes. The way you worded your question has confused many of the expert posters.
What is the likelihood I will lose nipple sensitivity with a BA, nipple incision?
It is one risk of such a procedure, and one that you must consider, amongst others, as with any surgical procedure. You should consult with a plastic surgeon well-trained in breast procedures who will examine and discuss with you the various risks and benefits of the procedure(s) and assist you in deciding if such a procedure will be the right decision for you.
I want to loose nipple sensitivity
Thank you for your post. In general, most women who have a disturbance in nipple sensation, whether it be less (hypo-sensation), or in some cases too much (hyper-sensation), the sensation goes back to normal with 3-6 months. Occasionally, it can take 1 - 2 years to be normal. Extremely rare, the sensation never goes back to normal. This is extremely rare in augmentation alone, more common in lift or reduction but less with a smaller lift like a crescent lift. Signs that sensation is coming back are needle type sensation at the nipple, itchiness at the nipple, or 'zingers' to the nipple. The number of women that lose sensation is much lower than 10%, closer to 1% in a simple augmentation. In some cases the same occurs with contraction where some women have no contraction and some women have a constant contraction of the nipples. Unfortunately there is no surgical correction for this. Massaging the area can help sensation normalize faster if it is going to normalize, but will not help if the nerve does not recover. In women with hyper-sensitive nipples, this will go away with time in most cases. Usually 3 months or so. In the interim, I have them wear nipple covers or 'pasties' to protect them from rubbing. It is unlikely that down-sizing the implant will cause regaining sensation. Down-sizing the implant may cause saggy breasts, however, and may necessitate a breast lift. Physical therapy with de-sensitivity techniques can help with hyper-sensitivity. If you are intending to lose sensitivity because of pain, then your surgeon can cut across the likely path of the nerve, but there is no guarantee that this will work.
Pablo Prichard, MD
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Nipple Sensitivity Loss
Although the risk of permanent sensation loss is very low, it is possible to see temporary sensation changes that take 3-6 months to return. I typically warn patients that the larger the implant that is placed, the higher the risk of sensation changes. This is because the sensory nerve to the nipple and areola will be stretched by the implant. The good news is that most cases stretch injury to the nerve results are temporary.
I wish you a safe and healthy recovery.
Going through a periareola approach may or may not cause a change of your sensation. Some say larger implants may cause sensory changes because of the potential for stretch.
Loss of nipple sensation based on type of incision
While you may lose some or all nipple sensation with any of the common incisions for breast augmentation, the chances are small with all of them. In my experience, there is a slightly higher risk of this with periareolar incisions.
Risk of sensory loss is low despite periaerolar augmentation
There have been reports of a greater chance of change in nipple sensation after periareolar breast implants, though we all have not had the same experience in practice. We have little loss with periareolar augmentation, though very large implants which stress and stretch the tissues can cause loss of feeling. We suggest you use the incision which fits with your preference for the scar, and will fit with the implant you require.
Loss of Nipple Sensitivity After Breast Augmentation.
After 30 years and several thousand breast augments using all 3 common approaches, I don't feel there is any difference at all in loss of sensitivity of the nipple based on the incision. The nerves giving nipple sensitivity come through between the ribs near the outer edge of the breast. I have had a very few patients over my career request what you are requesting. The surgeon can try to divide the nerves if you like but there is no guarantee there may not be a nerve missed and there is also no guarantee the post op sensitivity might be altered in a bad way rather than simple numbness.
Which incision is best for breat augmentation and nipple sensitivity
The preference for incisions to place breast implants is somewhat of a personal preference of the plastic surgeon so you will hear different advice. I personally believe that there is a higher incidence of decreased sensation with the areolar approach as well I believe the literature that states there is a higher incidence of capsular contracture from that approach. I would never approach a surgery with the goal being to decrease nipple sensitivity so I'm not sure if that was your goal. I hope this helps.
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.