A cup with 285-320ccs risk nipple sensation loss?

The risk of nipple sensation loss is very low but not zero. When making a decision on this surgery, you'll have to weigh the importance of nipple sensation vs the improvement in appearance. If you felt that you would be devastated by sensory loss, then you should probably defer the surgery. If you felt that you could accept the loss for the aesthetic improvement, then proceed. It is always a very personal decision and one that only you can make.

Dear oceanlover0784232,
every surgery has a risk of possible sensation loss in incision area. however, with a good surgical technique and proper incision placement, the risk can be reduced. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Whichever you close, it takes 3 to 5 weeks to get used to before you feel the implants are part of you. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

When implants are placed in front of the muscle, for treatment of tuberous breasts, then this results in cutting the main nerve supply to the nipple. You would be better off with implants behind the muscle. The areolas can be reduced by using a circumareola approach.

Best Wishes,

Gary Horndeski, M.D.

Hi oceanlover, I understand your concern about keeping your nipple sensation after surgery. It's important! There are some (not a lot) of good studies in the plastic surgery literature that have looked at this question, but I wouldn't say there's unanimous agreement on what the answer is, unfortunately. Some studies suggest that bigger implants do in fact lead to more numbness. It's common for women to have numbness after surgery for some period of time (40% chance), but that sensation will come back after about 6 months in all but 2.3% of people. There does *not* appear to be a higher risk of nipple numbness with a periareolar incision, compared to an inframammary fold incision. I'd be happy to chat more about your implant choices and surgical plan. Best of luck to you with whatever you ultimately choose!

The risk for a permanent change in sensation from breast augmentation is low, but cannot be eliminated. Patients may experience a change in sensation in the first few months after surgery, but it tends to normalize as swelling resolves and tissues heal. The conservative sizes you are considering will weigh in your favor as far as risk goes.

The sizes you post should all look nice on you. the risk to your areolae is low, but is present. However, in many women, sensation slowly returns. Also, you have two different breasts who may react differently.

Hi there, The nerves supply the sensation to the nipples are both deep and superficial from different direction. With tuberous breast correction and breast implant the risks are slightly higher than just breast implant alone but still small. You will experience some diminished sensation initially but will come back once the nerve recover.

Using a peri areola scar and a small implant should limit you chances of numbness. Nothing is guaranteed. The nerves to the nipple come from the 4th rib and this area should be avoided when making incisions and making the implant pocket. Your surgeon knows this and will do their best.

My experience has been that most patients who get implant augmentation, will have a slight decrease sensation in their nipples, but I’ve never seen someone lose their sensation from this procedure. Most patients told that they may have slightly decreased sensation are usually OK with it. If this was not discussed during the consult, then patient can sometimes be unhappy that this change happen. My experience has been that as long as patients are aware of it there usually, OK with it and complete numbness has never happened from implant augmentation in my experience. Whenever tissue is put under tension, nerves are going to suffer slightly. This is similar to getting a numb foot when you sit with your legs crossed. The bigger the implant, the more likely you are to have a more noticeable change in nipple sensation. The approach to breast augmentation seems to have little to do with changes in nipple sensation and it also doesn’t seem to make any difference if the implant is under or above the pectoralis muscle.
This issue is not a yes, or no black or white issue, but is more a degree of subtle changes in exchange for substantial improvements in aesthetic appearance.
Best,
Matt Hagstrom, MD