Does the sexual sensitivity returns ever after the gynecomastia surgery?

Thank you Abz for you very important question.  It shows again that nipple sensation is as important for guys as it is for girls.Sexual sensitivity often returns to nipple after #gynecomastia surgery.

Any surgery involving incision around the
nipple-areolar complex can damage nerves. Liposuction alone can also alter the nerve function.  In most glandular excision, a small pedicle is created containing the
nipple and areola and it means that the skin is cut over 20% of the areola, approximatively, which can damage the very fine nerves.  This is normally discussed
pre-surgery at the time of the informed consent. The risk are similar with women and breast reduction and breast lift, yet, the risk with males is much lower.



Fortunately, a reduced nipple sensation is
often temporary but one may have to wait several months prior to recovery.



I sometimes see the opposite: hypersensitivity in the nipples
in my #Toronto patients after #gynecomastia surgery, which also tends to
normalize over 6 months.



So be patient for now – as it may get
better over the next months to come.



All the best,

Dr Marc DuPere, Toronto board-certified
Plastic Surgeon

The sensory nerves to the nipple are very sensitive especially to stretching caused by the implant which I believe is the most common cause for numbness rather than being cut. Fortunately as the tissues soften, the sensation often returns with in the first year. If your nipples can become erect then in my experience you will have more of a chance to regain sensation.Nipple erogenous sensation recovery and the rest of the skin of the breast where you describe numbness are from different nerves. Although it is highly likely that you may not have return of sensation, the good news is the vast majority of patients will have return of sensation within the first year after breast augmentation.#breastaugmentation#numbness

 Depending on the amount of gynecomastia and the aggressiveness of the treatment most patients  Have a return of normal sensibility. This may take six months or longer however.

Nipple sensation can decrease after surgery, but this is usually temporary. It should return in a couple of weeks to months, but it can sometime take up to a year or so.

I tell all of my patients that there is a very high risk of numbness or changes in sensitivity when having gynecomastia surgery. This is because the most dense glandular breast tissue lies directly beneath the nipple, and must be removed for successful treatment. In all honestly, after performing gynecomastia for twenty years, I have had only one patient who was ever concerned about it before surgery, and he was totally ok with his sensitivity after complete healing. It can definitely take up to a year for the feeling to return. You should perform some exercises where you stimulate the nipples by pinching gently. This might help train the nerves to grow back better. Good luck.

Dear abz345If you had direct gland excision, there is a high chance that you will not regain sexual sensitivity back. If you had liposuction, then there is a possibility of regaining sexual sensitivity. You will likely regain general sensation in the area with time.You should discuss issue with your doc at your next followup visit.

Hi abz345,One of the risks of gynecomastia surgery with excision is nipple sensation changes. Some men develop  decreased or even too much sensation after surgery. In most men the sensation returns to normal within weeks to months but can take as long as 1.5 years. There is always a risk of permanent sensation change when excising gland directly under the areola. It is still too soon to say whether you are in that category. Hope that helps,Dr. Dadvand