4 weeks post op Breast Augmentation tingling driving me insane!

What you are experiencing is very common and should resolve over the next 2 months.  This tingling represents nerve regeneration and is a normal  part of healing.  If it is truly "driving you crazy", Gabapentin is a medication that may help these symptoms.

Sensation to the nipple is usually preserved with breast augmentation. The key word here is usually. Any surgery can cause change of sensation. There has been a significant amount of research into nipple sensation. The skin nerves of the breast come between the 1st to 6th ribs. The nipple-areola complex is consistently supplied by the nerve coming from the 4th rib (IVth intercostal nerve), with additional supply by branches of the 3rd and 5th intercostal nerves. This means that the threats to nipple sensation include the following:1. Where is the incision for the augmentation placed?2. What nerves have been injured during pocket dissection?3. Does the size of the implant stretch the nerve?Sometimes injuries to the nerve (especially from the third reason) will resolve over time (typically 6 months to a year) but in rare cases sensation loss can be permanent.Be sure to discuss your concerns with an accredited plastic surgeon.