I had breast reduction-lift surgery on February 7, 2023, at 23. I regained nipple sensation after a week, but still don’t feel the lower part of my breasts. Occasionally, I experience itching—could it signal improvement? It’s been over a year, I’m concerned. I followed all post-op instructions and wore the compression bra. The surgeon didn’t reduce them as much as I asked, citing aesthetic concerns. I hope to have another surgery later. Can sensation return, and is follow-up surgery possible?
January 28, 2025
Answer: Nipple Sensation and Revisions I specialize in aesthetic and reconstructive breast surgery and chest / nipple sensory nerve preservation and restoration. Numbness in the lower part of the breasts can be fairly common, as the nerves in that area may have been affected during the procedure. Nerve recovery can take time (up to 1.5-2 years) and while itching may signal that nerves are healing or regenerating, it can be a slow process. However, complete sensation may not fully return, especially in the areas further from the nipple, and some numbness might persist. If you're still unhappy with the results or if sensation doesn’t return as expected, additional surgery is often possible. Discussing your concerns with your surgeon about both the aesthetic outcome and sensation can help determine whether follow-up surgery is appropriate. Keep in mind that revisional surgery can sometimes affect nerve sensation even more, so it’s crucial to weigh the benefits and risks carefully. Revisiting your surgeon can provide more clarity on how to best address your concerns moving forward. Dr. Krishna Vyas, MD, PhD, MHS Harvard, Johns Hopkins, & Mayo Clinic Educated Double Fellowship Trained Aesthetic Plastic Surgeon New York, New York
Helpful
January 28, 2025
Answer: Nipple Sensation and Revisions I specialize in aesthetic and reconstructive breast surgery and chest / nipple sensory nerve preservation and restoration. Numbness in the lower part of the breasts can be fairly common, as the nerves in that area may have been affected during the procedure. Nerve recovery can take time (up to 1.5-2 years) and while itching may signal that nerves are healing or regenerating, it can be a slow process. However, complete sensation may not fully return, especially in the areas further from the nipple, and some numbness might persist. If you're still unhappy with the results or if sensation doesn’t return as expected, additional surgery is often possible. Discussing your concerns with your surgeon about both the aesthetic outcome and sensation can help determine whether follow-up surgery is appropriate. Keep in mind that revisional surgery can sometimes affect nerve sensation even more, so it’s crucial to weigh the benefits and risks carefully. Revisiting your surgeon can provide more clarity on how to best address your concerns moving forward. Dr. Krishna Vyas, MD, PhD, MHS Harvard, Johns Hopkins, & Mayo Clinic Educated Double Fellowship Trained Aesthetic Plastic Surgeon New York, New York
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May 14, 2025
Answer: SECOND BREAST REDUCTION Hello dear. It's normal for the recovery of sensation after a breast reduction to vary greatly from person to person. The fact that you've regained sensation in your nipples within a week is a good sign. A lack of sensation in the lower part of your breasts more than a year later can be concerning, but not necessarily permanent. Occasional itching could indicate some nerve regeneration, which is positive. That said, after more than a year, it's possible that the loss of sensation may be partial or permanent, although in some cases it may continue to improve over time, especially if there are signs such as tingling or itching. Regarding a follow-up surgery: yes, a second reduction or retouching is possible if you're dissatisfied with the size. It's key to wait at least 12 months, which you've already done, for the tissues to fully heal. A new procedure may better meet your expectations, but it could also carry a higher risk of altered sensation. You can contact us at 829-554-6062 for a more detailed evaluation and to begin scheduling your surgery.
Helpful
May 14, 2025
Answer: SECOND BREAST REDUCTION Hello dear. It's normal for the recovery of sensation after a breast reduction to vary greatly from person to person. The fact that you've regained sensation in your nipples within a week is a good sign. A lack of sensation in the lower part of your breasts more than a year later can be concerning, but not necessarily permanent. Occasional itching could indicate some nerve regeneration, which is positive. That said, after more than a year, it's possible that the loss of sensation may be partial or permanent, although in some cases it may continue to improve over time, especially if there are signs such as tingling or itching. Regarding a follow-up surgery: yes, a second reduction or retouching is possible if you're dissatisfied with the size. It's key to wait at least 12 months, which you've already done, for the tissues to fully heal. A new procedure may better meet your expectations, but it could also carry a higher risk of altered sensation. You can contact us at 829-554-6062 for a more detailed evaluation and to begin scheduling your surgery.
Helpful