I lost sensation in my right breast after explantation, is this only temporary?

As it's only been 1 month since this operation it's still too early to be 100% certain that this a temporary or permanent loss of sensation. It is possible during an explantation (especially if there is a capsule that needs to be removed) for a nerve to be injured. You will have more sensation if the nerve is not cut in the next few months. If the sensation doesn't return within 6 months, then it's likely this is permanent.

Dear M1104,Numbness is very common. It depends on the operation but often times sensation can return in a couple of weeks, a year, or not at all.  Nipple sensation itself is very important and can sometimes be lost with breast surgery. This is often mentioned in the risks of the consent process. I imagine your numbness is just temporary although I would have to examine you.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Loss of sensation in the breast, including numbness or changes in sensitivity, is a common side effect of breast surgery, including breast implant removal (explantation). In many cases, this loss of sensation is temporary and resolves over time as the nerves in the breast tissue regenerate and heal.
However, the duration and extent of sensory changes can vary widely among individuals. Factors such as the surgical technique used, the extent of tissue manipulation during surgery, and individual healing responses can all influence the likelihood and duration of sensory changes.
Here are some points to consider:
1. Temporary nature: In most cases, loss of sensation in the breast after explantation is temporary and gradually improves over the course of several weeks to months as the nerves regenerate and heal. It's not uncommon for sensation to return gradually over time, starting with tingling or hypersensitivity before normal sensation is fully restored.
2. Long-term changes: While sensation typically improves over time, some individuals may experience long-term or permanent changes in sensation following breast surgery. This can vary depending on factors such as the extent of nerve damage during surgery and individual healing responses. In some cases, sensation may not return to its pre-operative level completely.
3. Nerve damage: In rare cases, loss of sensation in the breast may be due to nerve damage sustained during surgery. If nerve damage is severe or permanent, it may result in long-term changes in sensation. However, most cases of sensory changes after breast surgery are temporary and improve over time.
4. Follow-up with your surgeon: If you're experiencing loss of sensation in your breast after explantation, it's essential to follow up with your plastic surgeon for evaluation and guidance. Your plastic surgeon can assess your symptoms, monitor your healing progress, and provide recommendations for managing any sensory changes.
If you're concerned about loss of sensation in your breast after explantation, don't hesitate to discuss your concerns with your plastic surgeon. They can provide guidance and support to help you navigate the recovery process and address any lingering symptoms.

I'm sorry to hear about the issues you are having.  Loss of sensation early in recovery is not uncommon.  It typically will return after a few months.  It is due to the swelling from surgery.  I encourage you to discuss your concerns with your surgeon for optimal care.