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

Question

Hi - I’m 29 years old, measuring 5’6. One surgeon told me there’s a high likelihood of needing an FNG for my breast reduction, the other said he would be able to do it but would still leave me around a D or larger. Is there any chance for me to end up at a C or D without a free nipple graft?

Tommaso Addona, MD · Answer

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.

Anna Steve, MD · Answer

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)

Gary M. Horndeski, MD · Answer

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.

Ronald J. Edelson, MD · Answer

You don’t need a free nipple graft. As far as size is concerned take a look at the surgeons photos of other reductions he or she has done. Avoid the temptation to go too small

Daniel Barrett, MD · Answer

Dear ditonoui,
breast reduction is best suited for women who wish to decrease the size of their breasts. While there are different techniques used to perform this surgery, I prefer the vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern, which reduces more noticeable scarring than usual. I also use a SAFE liposuction technique to reduce additional fat around the stubborn axilla area and bra line. This way, my patients are achieving beautiful results with minimal incisions which reduces downtime and delivers an overall better breast shape long term.If you are considering breast reduction surgery, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

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

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

Answers (7)

Answer: Breast reduction

Answer: Breast reduction

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Answer: Breast reduction

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Recommended reading

Everything you need to know about Breast Reduction

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