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.