
Dr. Johnny Franco is a board-certified plastic surgeon based in Austin, Texas, and the founder of Austin Plastic Surgeon. Widely recognized for his expertise in Brazilian Butt Lift (BBL) surgery—his most-requested procedure—Dr. Franco performs hundreds each ye
AUSTIN PLASTIC SURGEON 💆🏽♀️ @austinplasticsurgeonmedspa 📍Austin, Westlake, & San Antonio TX 📞 +1 (512) 253-2492 🌎Hablamos Español
5085 Posts904749 Followers
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Breast lift (mastopexy) is a surgery where patients have typically thought about the procedure for years prior to coming into the office. The vast majority of patients want to be able to exercise and wear clothes without their breast limiting those activities. However, patients often do worry about the sensitivity of their nipples after a mastopexy (breast lift surgery). It is import to remember that many patients have decreased nipple sensitivity when they have very large or ptotic breasts. This comes from the fact that the nerves have been stretched over a period of years.
It is impossible to predict if patients will lose sensitivity in their nipples after a breast lift, but the majority of patients return to their baseline in terms of sensitivity several months after surgery.
Patients typically go through a several phases in terms of sensitivity after their breast reduction surgery. Patients can lose sensitivity initially after their surgery as the nerves are stretched and moved by the lift and re-arrangement of the breast tissue. However, the majority of the breast lift techniques are designed to protect the glandular tissue below the nipple areolar complex. Protecting this glandular tissue below the nipple areolar complex does two things, one it protects the blood suppler to the nipple and areola, it also protects some of the nerves going to the nipple areolar complex. The nipple sensation typically starts to return over the next couple months, but can vary greatly from patient to patient.
Patients can also experience a period of hypersensitivity after their mastopexy. This hypersensitivity is typically the period when the nerves are “waking” back up and are sensitive to any type of contact. During this period of hypersensitivity, it is important to massage the breasts as this will help the nerves return to baseline. The nerves need to adjust to being touched again. Wearing a soft, sports bra typically helps until the sensitivity returns to baseline, however massaging the nipple areolar complex is key to helping calm down the hypersensitivity of the area. It is important to touch them or the hypersensitivity can linger for a period of time.
Some initial nerve sensation changes initially are normal in a mastopexy; however, the majority of patients return to their baseline in terms of sensitivity several months after their surgery.
It is important to discuss this risk with your Board-Certified Plastic Surgeon. They can help guide you through the process and further discuss the risks of losing sensation after your breast lift surgery.
Board Certified Plastic Surgeon
Breast reduction is a surgery where patients have typically thought about the procedure for years prior to coming into the office. The vast majority of patients want to be able to exercise and wear clothes without their breast limiting those activities. . However, patients often do worry about sensitivity of their nipples after breast reduction surgery. It is import to remember that many patients have decreased nipple sensitivity when they have very large breasts. This comes from the fact that the nerves have been stretched over a period of years.
It is impossible to predict if patients will lose sensitivity in their nipples after breast reduction, but the majority of patients return to their baseline in terms of sensitivity several months after surgery.
Patients typically go through a several phases in terms of sensitivity after their breast reduction surgery. Patients can lose sensitivity initially after their surgery as the nerves are stretched and moved by the reduction and re-arragement of the breast tissue. However, the majority of the breast reduction techniques are designed to protect the glandular tissue below the nipple areolar complex. Protecting this glandular tissue below the nipple areolar complex does two things, one it protects the blood suppler to the nipple and areola, it also protects some of the nerves going to the nipple areolar complex. The nipple sensation typically starts to return over the next couple months, but can vary greatly from patient to patient.
Patients can also experience a period of hypersensitivity after their breast reduction. This hypersensitivity is typically the period when the nerves are “waking” back up and are sensitive to any type of contact. During this period of hypersensitivity, it is important to massage the breasts as this will help the nerves return to baseline. The nerves need to adjust to being touched again. Wearing a soft, sports bra typically helps until the sensitivity returns to baseline, however massaging the nipple areolar complex is key to helping calm down the hypersensitivity of the area. It is important to touch them or the hypersensitivity can linger for a period of time.
Some initial nerve sensation changes initially are normal in breast reduction surgery; however, the majority of patients return to their baseline in terms of sensitivity several months after their surgery.
It is important to discuss this risk with your Board-Certified Plastic Surgeon. They can help guide you through the process and further discuss the risks of losing sensation after your breast reduction surgery.
Board Certified Plastic Surgeon
Mention RealSelf to redeem.
I’ve always been self-conscious about my butt and even wore padding under my jeans for years. I had thought about a BBL before, but being on the thinner side, I knew I didn’t have much fat to transfer. During my consultation with Dr. Franco, he recommended a combination of AlloClae, Quantum body contouring, and Aveli (to help with a bit of loose skin, even though I didn’t have much cellulite). I decided to move forward, and I truly could not be happier. Dr. Franco was both incredibly friendly and professional, and he made himself available for any questions or concerns after surgery. Gilbert, the anesthesiologist, was also amazing—he put me completely at ease, and I didn’t feel a single ounce of pain during the procedure. Recovery has been a breeze with minimal discomfort; I was walking and even working the very next day. The results are nothing short of AMAZING. My butt looks and feels so natural—better than I ever dreamed possible. I feel more confident and happier than I could have imagined, and I cannot recommend Dr. Franco and his team enough.
I had the Motiva Preservé, Preservation Breast Augmentation done on Friday, August 22, 2025, and I am over the moon with the results and process. I knew I was in the best hands at Austin Plastic Surgeon from the second my process started. I didn’t feel any pain during the procedure itself and was only tight and lightly sore for a few days. I was back to work with no complaints that next Monday. I honestly feel like I could have gone out to dinner the night of my surgery, it was that minimally invasive and painless. It was the perfect procedure for me because I wasn’t trying to look overly full, just wanted that upper pole fullness and some added cleavage, and that’s exactly what I got out of it! Plus my incision spot is TINY. I’ve never felt more confident! Thank you to everyone who was a part of my journey at Austin Plastic Surgeon. I’m so beyond grateful for this transformation.
I had a lipo 360, BBL, arm lipo, and chin lipo all together the same day with Dr. Franco. I am 2 weeks post-op and I am more than happy with my results. Dr. Franco is not just an incredible surgeon but also an incredible person. He truly cares for his patients. He is also very responsive to concerns. I reached out to him twice after surgery and he was very quick to reply. He listened to all my concerns and he answered all my questions with honesty and knowledge. His expertise and exceptional care have made a real difference, and his work is impeccable. The only thing I regret is not finding him sooner! I'll let the pictures speak for themselves.
I have had several procedures at Austin Plastic Surgery. I had Aveli and Sofwave to help with some cellulite and skin laxity. I’ve followed up with Dr. Franco to have Quantum RF for skin laxity and Alloclae for some volume. I could not be happier with my results!!! Everyone at APS has been so wonderful and the care from Dr. Franco was top notch. He explained each procedure/option and made sure I understood everything. During the procedure him and his team were so great making sure I was comfortable and they took the best care of me. The follow up has been very thorough. I look forward to future procedures and know Dr. Franco and his team will take the best care of me!!!
Dr. Franco is a very skilled surgeon. His clinic is very well run. His staff are friendly and positive. Even on post op day 2, I was already looking good. I wholeheartedly recommend Dr. Franco to anyone seeking a breast augmentation, BBL, or any other procedure he may offer. He’s on the cutting edge of plastic surgery.
I had my breast reduction surgery in June, and I truly could not be happier with my experience or my results. From the moment I met Dr. Franco, I knew I was in the right hands. He is warm, professional, and incredibly knowledgeable — he made me feel completely at ease and listened to every concern I had with genuine care. The surgery and recovery process were smooth, and I felt supported the entire time. I’m already in love with my results, and I know they’ll only continue to improve as I fully heal. Choosing Dr. Franco was one of the best decisions I’ve ever made!
I had an Alloclae procedure done on my hip dips almost two weeks ago and had an amazing experience with Dr. Franco. He’s incredibly knowledgeable and precise, which put me at ease throughout the entire process. While my results are still settling, which is as expected, I’m already obsessed! The change is subtle but has made a big impact on my figure and overall confidence! Even now, nearly two weeks post-op, Dr. Franco continues to check in on my healing and progress, which I truly appreciate. He’s a fantastic doctor for so many reasons!
Dr. Franco is a true surgeon. I have been a patient of his for more than 10 years. I had a breast smile (yes it is called that) and butt implants. He is so kind and honest. Very honest!. (I wanted a JLo butt) he told me with my frame it would seriously look silly. I love that about him. He wants his patients to look natural not silly. Thank you Dr. Franco for making me feel better about myself.
I have never had a butt. I’ve always wanted a JLo. Dr. Franco is the BEST. He talked to me and explained everything he would do to get close to what I wanted. (I am over 50yrs old), but you are never too old to make yourself happy. Myself confidents is great. My husband loves it too. I can wear shorts and not have to wear a long shirt to cover my “no ass”. I will always be grateful to Dr. Franco.
Tomorrow is surgery day! I was feeling a bit nervous last night thinking about it all. I’ve attached a few wish pics — I’m hoping for a natural, full look that fits my body well, nothing too big. Sending myself some positive energy Wishing for a smooth surgery tomorrow! I’ll keep updating my healing journey... Updated on 3 Jul 2025: Yesterday I had my breast augmentation surgery — went under anesthesia, took a nap, and woke up feeling like two mountains were sitting on my chest (Both sides: Motiva 265cc). Surprisingly, not much pain at all, but upper body movement is pretty limited. I need help getting up, and I’ll be sleeping upright like a vampire for the next two weeks On the bright side — my appetite came back strong! I ate a full meal and even snacked on bananas, cherries, and tomatoes. Also slept like a baby last night Let the healing journey begin! I’ll keep updating here~ Updated on 4 Jul 2025: It’s been 2 days since my surgery — my chest still feels super firm, like two solid rocks. Really hoping they’ll soften up soon! I’ve been taking my pain meds as prescribed, and thankfully I haven’t felt any real pain so far. I also bought a U-shaped pillow for sleeping upright more comfortably. And the ice packs I got when the swelling gets intense. So soothing! One step at a time — healing in progress! Updated on 7 Jul 2025: Today has been the most comfortable day so far! I was able to get out of bed on my own and even pick up water bottle without that sore, pulling feeling in my chest muscles — a small but exciting win! I also ordered a really comfy post-surgery bra from Amazon and it's been such a relief to wear — supportive but not too tight. That said, my chest still feels very tight and firm, and I can’t walk around for too long without feeling pressure or discomfort in my chest. Updated on 15 Jul 2025: Saw my surgeon today and he said everything is healing beautifully. From now on, I need to stay more active — walking around every day. The good news is I can finally sleep flat on my back again, but I still need to wear my surgical bra 24/7. I can switch to sports bra now,. I’ve also started doing massages daily and applying scar cream. The surgical glue on my incisions hasn’t fully come off yet, but the doctor said I can gently wipe it away now. Overall, I feel pretty good — no real pain, just a slight heavy feeling when I take the bra off. Still waiting for the implants to fully drop and the swelling to go down. Updated on 5 Aug 2025: The first three weeks were definitely the hardest because of the sleep. Around week 3, my sleep started to improve much, I can sleep on my side for a bit, though my chest still feels a little sore when I do now. I’ve noticed some numbness under my left nipple, I’ll ask my doctor about it at my appointment next week. Other than avoiding heavy lifting and upper body workouts, my daily life feels pretty much back to normal. I’m really happy with the size. Hoping my scars fade faster. I apply scar gel twice a day and do one massage daily. My chest is still firm. Can’t wait for them to fully drop and soften!
What’s trending? Who’s turning heads? Which TikTok myths need busting? We’ve got you. No fluff, no gatekeeping—just real talk. Get our free, unfiltered newsletter.