Is Loss of Nipple sensitivity in fat grafting possible?

Question

I have read that loss of sensitivity is possible with implants. And I realize that breast augmentation through fat grafting can achieve a limited result regarding the size. However, if the risk of losing sensitivity is out of question, could far grafting be the answer?

Ryan Neinstein, MD, FRCSC · Answer

Always and never are words that you wont hear in surgery, there are always risks but these risks are very small

Larry S. Nichter, MD, MS, FACS · Answer

Loss of sensation in the nipple/areola is fortunately an uncommon occurrence.In my experience, permanent loss of of sensation may be due to stretching of the sensory nerves by using very large implants causing a stretch injury or pressure on the nerves, extent of dissection which can damage the nerves, and the size of implant. I find that the location of the incision is not usually the reason for loss of sensation.Choosing a board-certified plastic surgeon is important when considering surgery, as it will lower your chances of complications.

Martin Jugenburg, MD · Answer

There are no guarantees in surgery although the risk may be minimal or unlikely there is always still a possibility. Please seek an in person consultation with a board certified plastic surgeon to go over your options.

Matthew G. Stanwix, MD, FACS · Answer

Thanks for your question and interest in fat transfer.  First of all, fat transfer to the breasts works extremely well and is the most natural, minimally -invasive, and longest lasting way to enhance ones breasts.  As an expert and pioneer in fat transfer to the breasts, I can say the the risk of having nipple loss afterwards is basically zero.  Its such a minimally invasive surgery that injury to the nerve is not really possible.  I perform 1000's of cc's of fat each week (never had an issue with numbness) and women do great and love their results (and quick recovery).  Best wishes.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

The risk of decreased nipple sensation is low with fat grafting but it is not zero. In my opinion loss of sensation is less with fat grafting

Shim Ching, MD · Answer

Good question!Loss of sensation would be unlikely with fat grafting.Another consideration would be an axillary or armpit incision.  Sensation to the breast, nipple and areola are usually preserved with an armpit scar.  A larger difference could be achieved using an implant vs. fat grafting as well.

Gregory T. Lynam, MD · Answer

While anything is possible it is VERY unlikely to occur. I would be more concerned with the other more usual complications. In over 10 years of breast implant placement I do not think I have ever seen permanent loss of nipple sensation. Good Luck!

Justin Yovino, MD, FACS · Answer

Given the nature of the procedure, loss of nipple sensation after fat transfer to the breasts is extremely unlikely.  I wouldn't even worry about it to be honest.

Edward J. Bednar, MD · Answer

Anything in medicine is possible, however, the loss of nipple sensation is very unlikely since there is no pocket dissection.  Fat grafting is alternative solution to implants for the right candidate.  An in-depth consultation with a board certified plastic surgeon will determine which option might be better for you.  Thank you for your question.

Scott W. Vann, MD, FACS · Answer

Any thing is possible, but I think the chance of nipple sensation change after fat grafting is very small. Since there are no planes of dissection through the breast , you should not have trouble except very temporary.

Is Loss of Nipple sensitivity in fat grafting possible?

Answers (17)

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