Does explanting implants through the nipple cause more nerve damage than explanting under the breast?

Unfortunately, you have not provided photographs or told us your bra size. However, explantation alone frequently results in dissatisfaction due to the hanging skin, empty appearance and requires a lift. Depending on your size I would recommend explantation and mini lift or explantation using The Bellesoma Method. The mini lift using a circumareola incision to remove the implants, reshape the breast tissue, elevate them higher on the chest wall and more medial to increase your cleavage. The Bellesoma Method will remove the implants, reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained, if not injured during your previous surgery.

Best Wishes,

Gary Horndeski, M.D.

If your original incision is around the areolae, then there should be minimal risk to the nerves. If your original incision is below the breasts, there probably is not a good reason to make a new incision around the areolae. If your original incision is axillary, then the incision under the breast carries the least risk to nerves to the nipple. If you have a thick capsule that needs to be removed with the implant, there is a chance of more numbness somewhere on the breast.

Dear sherrycarter78,
generally speaking, implants are removed using the same incision which was used for their placement. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery