Options For Extremely Sensitive Nipple Even After a Year?

Thank you for your question. Hypersensitivity to the nipple or other breast regions is normal after surgery. The nerves may have been stretched and transiently down for the count. As they wake up, they want to let you know they are still there by over signalling their presence. Hence very sensitive nipples. Things typically do resolve with time. In the meantime, you can take two approaches. Compression or tape to minimize friction on the nipples. The other approach could be desensitization with over stimulation (e.g. vibration).

If patients do not lose their sensation after breast augmentation surgery is quite common for them to have hypersensitive nipples for about 12 weeks.  This is likely because the nerve to the nipple is being stretched at the time of surgery.

I have not seen someone complain of hypersensitivity within your timeframe.  That said, if you're seeing improvement beyond the year out it may be worth waiting even longer to see if it continues to improve.

If it is truly bothersome and does not get better you may wish to discuss with your surgeon undermining the nipple in an attempt to purposely divide the sensory nerve, but I would really look at this as a last resort.

Best wishes.

The good news is the hypersensitivity will improve over time.  The bad news is it may take more months.

Your surgeon should look to see that there are not incision problems that can be corrected as areolar incisions have a higher rate of pain to the nipple than inframammary. Perhaps the scar may be released, subcised, or injected with some cortisone to soften it.

The nipple-areolar complex gets most of its nerve sensation from the fourth intercostal nerve.  Your doctor may need to consider if there is impingement, or scarring creating a problem with this nerve.  Feeling could be altered and would be a clue.  Your doctor could consider trying some nerve blocks with local anesthetic to see what relieves the pain.

I would consider also an injection of Botox around the nipple to see if this relieves the pain (and you are not pregnant or breast feeding).  Botox can minimize pain sensations and has been used for other nerve injuries and pain syndromes with some success.  It would be an off-label experimental use, but could be useful, and break your cycle of pain.  It should not affect feeling, or deeper muscular activity.

Good luck.