Breast Reduction Without Nipple Trauma Possible?

The procedure involves removing a significant amount of tissue and ducts from the breasts, which is why there is trauma associated with the surgery. Areola reconstruction depends on the extent of correction desired and the result you'd like to achieve. It is not always necessary, but this depends on your goals. Some patients may notice a decrease in nipple sensation. This is often a temporary issue that resolves on its own, but can also be permanent.

You are a 40 I.  I have reduced breasts as large a a M without injuring the nipple.  The technique is called the Ultimate Breast Reduction, which is based on the principle of breast weight transfer to the underlying muscle.  The breast is reduced and reshaped, nipple sensation is preserved and the ability to breast feed is maintained.  This technique avoids the vertical scarring of the llollipop or boat anchor incisions.

Best of Luck,

Gary Horndeski, M.D.

See one or more experienced, board certified plastic surgeons if possible and get their recommendations on the type of procedure they would perform and the risks involved.  Many very large breasted women have had reductions without losing nipple sensation and with very satisfactory scars.  All surgeries have some risk and because of individual anatomy and many other factors it is impossible to guarantee that your nipple sensation will not be affected.  If the distance between the crease under the breast and the nipple is extremely long , there may be more of a risk of nipple loss--in that case a surgeon will recommend a free nipple graft which causes a loss of sensation.  Most women, however, are candidates for doing the procedure in a way that usually preserves some or all of the sensation.