Does doing a nipple reduction at the same time as a breast augmentation increase the risk of capsular contracture? (photos)

There is very little data to reference when it comes to the specific change in risk with combined nipple reduction and augmentation. However, I share your surgeon's concern. Human nipples are not clean. A complication with the nipple reduction procedure like delayed healing or an infection might put you at risk of capsular contracture or an implant infection.

I suggest doing the nipple reduction first, wait 3 months to fully recover, and then proceed with your augmentation.

I am not aware of any data / literature that supports this concern. It is not uncommon to perform a breast augmentation and nipple reduction at the same time. I routinely perform the breast augmentation first and after completion of that part of the procedure in its entirety...we then perform the nipple reduction under the same anesthetic / trip to the OR. Regardless, it sounds like your surgeon is very careful which is a positive thing! Best of luck!
-Gianfranco Frojo MD

Thanks for your inquiry, I believe your surgeon concern is a valid, I do not know if we can quantify an exact increase. I personally do like to separate the procedures-best of luck.

Dear Sicily1987,
capsular contracture happens. In fact, every implant has a capsule form around it, its just a certain percentage develop thick capsules. There is a lot we don't know about it actually. Some think that bacteria that gets on the implant during insertion can increase the risk. Thats why we use a Keller Funnel in our practice to reduce that possibility. Our capsular contracture rate is less than 2% because we use a keller funnel as well as meticulous operating room techniques.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Assuming your surgeon adheres to evidence based best practices, they will be utilizing an inframammary incision to deliver your implants into a subpectoral pocket; all the while keeping sterile adhesive coverings on your nipple areolar complexes. Once the breast augmentation is complete, your surgeon can safely remove the nipple shields and perform nipple reduction without increasing the risk of implant exposure.

Thanks for your question! That is a logical thought. We don't have complete control over capsular contracture so he is likely doing the most pragmatic thing to mitigate any risk for CC. It can always be done as an in-office procedure at a later date. Good luck!

A board-certified plastic surgeon is qualified to address your issues. Board-certified plastic surgeons have spent years of training and have the top level of experience and skill. Seek out a board-certified plastic surgeon for your cosmetic needs.

hello this is dr. can I like to explain what you need here or at WhatsApp. your expectation is very acceptable. your doctor is almost right. ıt van increase the risk of infection and capsular contracture. best is to wait for another session. let me know if you have any question or need. have a great day!

I would recommend waiting on reducing the nipples as a simple procedure in the office about 3 months after the augmentation. Bacteria do live in and around the nipple ducts and this could increase the risk of capsule formation if down with an augmentation. Also, once you are enlarged, you may actually like your nipples now.

I agree with your plastic surgeon. The nipple has countless ducts that may harbor tiny amount of bacteria. I would prefer to perform a nipple reduction at a second procedure usually under local anesthesia.
Best wishes,
Dr. Taranow