What notch to nipple distance would you say you must do a free nipple graft for a breast reduction?

Question

I'm inquiring about notch to nipple distance for a breast reduction. My bra size is 36 DDD/DDDD and my notch to nipple distance on the right is 37cm and 40 on the left. My surgeon says I'm pretty much going to have to have a free nipple graft, they always do it that for my breasts like mine. I'd really rather not, I'd like maintain all nipple sensation.

Mark K. Markarian, MD, MSPH, FACS · Answer

Hello and thank you for your question.  Although 37cm and 40cm are significant distances, committing a patient to an insensate free nipple graft in my practice is more an exception than the rule.  I would recommend an in-person evaluation with another board certified plastic surgeon to obtain an additional perspective.  Your first plastic surgeon is recommending a conservative, safe, approach and cannot be faulted.  However, a second opinion is never a waste of time.

For more information on Breast Reduction, please refer to my link below.

Good luck.

Mark K Markarian, MD, MSPH, FACS 
Harvard-trained Board Certified Aesthetic Plastic Surgeon

Gerald Minniti, MD, FACS · Answer

Free nipple grafting is at best a life boat that will turn the complex structure of your nipple areolar complex into a flattened, insensate patch. Instead plan a surgery that moves the nipple less than the optimal distance and preserve more breast tissue, this will reduce the risk of nipple necrosis. A second surgery can then be performed one to two years later that will allow more reduction and better nipple placement.

Keith M. Blechman, MD · Answer

Rarely, if ever, are nipple grafts necessary.  Distances of 37 and 40cm don’t require them, however, risks of nipple loss are higher.  Experience, judgement, and honest discussion of these risks are paramount.

Ronald J. Edelson, MD · Answer

I don’t necessarily think that you need to be done with a free nipple graft. You might consider getting a second opinion.

Gary M. Horndeski, MD · Answer

Dear peachyy,
No need to worry about a free nipple graft when using the Bellesoma breast reduction technique. My patients never need one and do not require the dreaded and very visible vertical scar. Most of my patients either maintain nipple sensation or it increases by pulling the breast back where it belongs. You are welcome to visit my gallery to see several examples of the Bellesoma breast lift and breast reduction method. I hope this helps.
Best wishes and kind regards,

What notch to nipple distance would you say you must do a free nipple graft for a breast reduction?

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Answer: Free nipple graft

Answer: Free nipple graft

Answer: What notch to nipple distance would you say you must do a free nipple graft for a breast reduction?

Answer: What notch to nipple distance would you say you must do a free nipple graft for a breast reduction?

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Everything you need to know about Breast Reduction

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What notch to nipple distance would you say you must do a free nipple graft for a breast reduction?

Answers (7)

Answer: Free nipple graft

Answer: Free nipple graft

Answer: What notch to nipple distance would you say you must do a free nipple graft for a breast reduction?

Answer: What notch to nipple distance would you say you must do a free nipple graft for a breast reduction?

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Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.