The doctor I spoke to will do the anchor incision, either with or without a free nipple graft. To get to the size I want (which is practically flat), I know I would need to have a free nipple graft. I am not at all interested in ever breastfeeding, so not being able to do that because of the FNG isn’t an issue (I’m also not too upset about possibly losing sensation with it, but also, my doctor said after a FNG the nerves or something will reattach and I will likely get some kind of feeling back). But I’m wondering if any other risks associated with getting a reduction will increase by choosing to have a free nipple graft (necrosis, healing, etc). Basically, I’m wondering if there’s any good reason (aside from losing the ability to breastfeed) why I shouldn’t get a free nipple graft, because it seems like the same thing except with the added bonus of being able to go as small as I want!
Answers (6)
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Hi Ravina! Breast reductions do involve "moving" the nipple to lift the nipple to a more aesthetic position, but typically the nipple/areola complex stays connected to the tissue below and the entire pedicle (mound) of tissue is repositioned. In rare occasions, in patients with extremely large...
As your surgeon suggested, I think your best answer is to have this addressed surgically. Six months is a reasonable time frame to make those decisions and plan to move forward with corrective surgery. Convey your specific desires with your surgeon. Go over everything in detail during the preop...
While 400g per side would make a noticeable difference, it likely won’t take you to a very small cup size like a C or D. If that’s your goal, you may need a larger volume reduction or to consider discussing a free nipple graft approach (especially if size and shape goals are more extreme).
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