Will my nipple go completely flat after free nipple graft breast reduction?

When the nipple areolar complex is placed as a free nipple graft, it does have to be thinned down to maxmise graft take and survival. Having said that, you don't necessarily need a free nipple graft just because the nipple to SSN distance is 36cm.

For optimal outcome, please consult a fully qualified plastic surgeon, who has specialist qualification in plastic surgery 'FRCS Plast' after having being trained adequately in the field of plastic surgery, is registered on the 'Specialist register for Plastic surgery' with the General Medical Council and has been considered competent enough to be a member of the 'BAPRAS' (British Association of Plastic Reconstructive and Aesthetic Surgeons) and 'BAAPS' (British Association of Aesthetic Plastic Surgeons) at the least.

Hello @ktk78 thank you for your question. I suggest you consult with several board certified plastic surgeons. When I perform a breast reduction, I try to reduce the volume of the breast tissue in the different segments. What happens? depending on the surgical technique developed by the specialist, depending on the shape of the breast, a greater reduction will be made on one segment than on the other in order to achieve the best aesthetic result. The best aesthetics result for me is a breast that has an adequate shape and proportion, that the projection is slightly conical, that has a slight descent in the upper part so that it looks esthetically adequate. When these volumes are reduced, obviously I have to make a rearrangement of all the tissues, always keeping the areola and the nipple together. I hope this shed some light. Best luck! Alan Gonzalez MD FACS