Is a free nipple graft (FNG) required? (Photo)

Thank you for your question.
Based on the photos you provided, it is very likely that you will require a free nipple graft with your breast reduction. Since the distance from your collar bone to your nipple is quite large, the blood supply to the nipple may be compromised during your surgery creating a risk of losing the nipple entirely. I would recommend speaking with your surgeon to discuss your concerns.

It is important to understand that the further the nipple needs to move during a breast reduction, the higher the risk of problems with blood supply. However, based on the photos you've shared it looks like you would be a candidate for a standard breast reduction without free nipple graft and aiming for a C or D cup would be reasonable. The amount of tissue removed has less bearing on blood supply to the nipple than how far the nipple has to move and other medical history (smoking etc)

No, you do not need a free nipple graft. The technique I recommend is The Bellesoma Method. This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.