Is a burning and stinging sensation 8 years post breast reduction normal? Have not experienced any complications.

Question

I had a breast reduction in 2014 without any major complications except for the burning/stinging sensation that I get frequently to both nipples still. Sometimes it’s so bad that I have to put ice on them to feel relief. I haven’t noticed anything different over the years. I have great sensation to both. My plastic surgeon has retired. Is this feeling normal this long after the procedure?

George Bitar, MD · Answer

Burning/stinging sensations indicate that nerve irritation or damage is the cause.  With any surgery, the nerves to the skin will be divided when making the incision.  Generally, the skin nerves will recover and for most people, the discomfort will go away.  Given your breast reduction was 8 years ago, the burning and stinging is more likely to be permanent.  There are desensitization techniques and nerve medications that may help with the pain.  I would recommend visiting a plastic surgeon for assessment.

Daniel Barrett, MD · Answer

Dear Plucky492446,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Changes in normal sensation occur when the tiny sensory nerves grow back and get trapped in scar tissue. You might want to visit with a doctor at a pain clinic to see if your sensation can be improved.  More surgery usually does not make this better.

Camille Cash, MD · Answer

Nerve pain 8 years after a breast reduction is not common.  I encourage you to visit with another board certified plastic surgeon near you for an evaluation.  If needed medication can be prescribed to help with comfort.

Derek Fletcher, MD - Account Suspended · Answer

Persistent nipple pain or discomfort after breast reduction typically resolves within 3 months. So having pain on both sides 8 years after surgery is uncommon. The symptoms you describe sound like nerve pain. Non invasive treatment of persistent nerve pain typically starts with topical numbing medications like lidocaine patches. Gabapentin can help with nerve pain as well. Occasionally, injections can reduce pain scores from a higher number to a lower number even after the medication has warn off. Hope this helps and good luck.

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!A breast reduction requires extensive dissection about the nipple areolar complex as its blood and nerve supply is maintained on a flap of skin and underlying fat. This often results in permanent alteration of sensation. Hyposensitivity or hypersensitivity may result. If it is more than just an annoyance, there are desensitization techniques utilizing RF energy or ultrasound provided by a physical therapist.Best wishes...

Is a burning and stinging sensation 8 years post breast reduction normal? Have not experienced any complications.

Answers (6)

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