How Does a Breast Lift Impact Nipple Sensation?

Any type of breast lift involves incisions, and incisions can sever sensory nerves. Nipple/areola sensation is generally provided via the 4th lateral intercostal nerve (occasionally branches from the 3rd and the 5th), which courses along the lateral chest wall where it enters the breast and has terminal branches in the nipple area. Since these nerves are not in or immediately beneath the skin, skin-only incisions should theoretically preserve sensation. However, the surgical reality is that incisions are slightly below the skin, in the subcutaneous fat layer, and can damage or sever the nerve or its branches, causing temporary or permanent numbness.

If a breast lift is being done in conjunction with implant placement for enlargement, creation of the implant pocket can also damage or sever the sensory nerve(s) to the nipple. This occurs in about 5-10% of augmentation patients. With a full lift, numbness occurs in somewhat more, around 15% or so.

A crescent lift, IMHO, is essentially a "worthless" lift, as the amount of nipple elevation is NEVER more than a few millimeters. Ask yourself if the additional cost is worth several mm only? A Benelli round-block technique can provide modest lifting, but can flatten the breast, create irregular and potentially unsightly scars, and can cause a purse-string appearance around the areola depending on the suture choice and exact technique. Neither of these "lifts" should cause an undue risk of losing nipple sensation, but I would still advise that about 5-15% of patients may lose some sensation with either of these (not-recommended or rarely-recommended) lifts, simply because the incisions are placed right where the nerve branches exist. Best wishes! Dr. Tholen

Neither the Benelli breast lift nor the crescent procedure should affect nipple sensation.

You should know the following: the Benelli lift should only be used in combination with an implant, and only if very minor lift is needed. The Benelli procedure causes flattening of the breast and can produce significant distortion of the areola. Some of the worst results I have seen in cosmetic breast surgery have been produced by this operation.

The crescent lift is essentially useless.

More effective lifts such as the vertical (or 'lollipop') mastopexy, can lead to loss of nipple sensitivity.

Properly educated patients who benefit from a skilfully-executed procedure rarely complain of loss of nipple sensitivity, including those for whom this was important preoperatively.

Thank you for your question,              
The Bellesoma Method is a current technique to lift and/or reduce breasts without using implants or the ugly vertical scars.  The incisions are hidden around the areola and in the inframammary crease. The vertical incision has been completely eliminated. The areola incision heals almost invisibly due to the fact that there is hardly any tension on the closure. With this particular technique, ducts are preserved along with nerve supply maintaining nipple sensation and the ability to breast feed. Because the breast is reshaped internally and is secured to your chest muscles, upper pole fullness is possible without an implant. Attached is a patient who underwent The Bellesoma Method. Please note that her tissue was used to create upper pole fullness and cleavage without any foreign materials (mesh, implants, etc).  It is a proprietary technique that only surgeons that have been trained by me can perform. I hope this helps. 
Best wishes and kind regards, 
Dr. Gary Horndeski