When Will Nipple Sensation Return After Lipo for Male Breast Reduction?

It is normal to experience numbness around the areola and chest. As your body heals, you may notice random bursts of pain in your chest. This is usually a sign that the numbness is subsiding.Your incisions will go through a maturation #process following #Gynecomastia #surgery. For the first few months they will be red and possibly raised and/or firm. As the scar matures, after 6-12 months, it becomes soft, pale, flat, and much less noticeable. You may experience numbness, tingling, burning, “crawling”, or other peculiar sensations around the surgical area. This is a result of the #healing of tiny fibers which are trapped in the incision site. These symptoms will disappear. Some people are prone to keloids, which is an abnormal scar that becomes prominent. If you or a blood relative has a tendency to keloid formation, please inform the doctor.Bruising and #swelling are normal and usually increase slightly after the removal of any tape or foam. The bruising will decrease over 3-4 weeks, but may last as long as 6 weeks. The majority of the swelling will be gone within the first 3-4 weeks. However, it may take 6-9 weeks to disappear completely. Also, as you heal, the area may feel “lumpy” and irregular. This, too, decreases with time, and massaging these areas will help soften the scar tissue. The #compression garment helps reduce the swelling, and the longer it is worn, the more quickly you will #heal. It can also assist in the retraction of the skin. If you have any concerns about #healing, its best to ask questions of your surgeon or their nursing staff.

This sensation will likely return to normal after 6-8 months.  If the problem persists, definitely communicate your concern with your surgeon.  Good luck and be safe.John T.
Nguyen, MD, FACS, FICSDouble Board
Certified Plastic Surgeon

Hello! Thank you for your question! Numbness after any surgical
procedure is expected for several weeks to months following. As the
nerves to the area are traumatized and will then experience a temporary
neuropraxia, a transient loss of nerve conduction. This usually
resolves over the next 6-12 weeks, but depending on the procedure
performed, sometimes much longer. Typically this should resolve by 1
year. As it goes past this date, the likelihood of the sensation
returning is small. However, it can take up to 2 years. If no return
from there, it is unlikely to return. It should be discussed that
persistent sensory changes may develop following any surgical
procedure. The usual signs of the nerves regenerating and neuropraxia
resolving is itching, followed by a burning sensation and then
occasional sharp, shock-like pains. These will be normal to experience,
and actually a promising sign. Usually, normal sensation returns, but
is is also possible to have decreased sensation or even increased
sensation to the areas affected. Re-educating nerves postoperatively is
often helpful and will allow proper instruction for the affected
sensory nerves - methods include using different textures to the
affected areas when showering, bathing, applying lotion, etc. If
bothersome, there are some medications that may be helpful, including
Neurontin for pain for hypersensitivity. You can try various textures
such as washcloths, loofahs, cotton sheets, etc. Massaging the areas is
also beneficial for the incision to make the finest scar possible. The
last place to regain the sensation will be directly adjacent to the
incision/scar as the nerves will make its way from the periphery to this
location. If continual pain arises, evaluation is warranted. After
ruling out other causes, one rare explanation may be that a neuroma has
developed and may require surgical excision. This is very unlikely
unless a large sensory nerve has been transected inadvertently during
the procedure. Hope that this helps! Best wishes!

                  It’s
not unusual to have numbness following liposuction of the chest. During this
procedure the nerve fibers are often traumatized and stretched by the
liposuction canula.

                  In
the vast majority of patients this is a temporary phenomena that resolves
within six to twelve months of surgery. In many cases patients develop unusual
tingling sensations called dyesthesias when nerves start to recover. It’s
important to be patient, since most cases of numbness recover with time.

Liposuction only usually doesn't damage the tissue as much as cutting.  I would suspect it to return to near normal in time.  However, if smart lipo was performed the heat may cause a little more injury.  I would give it time and it is still a risk that sensation change may occur.

Dear bra boy,
Nipple numbness is rare but possible after liposuction for gynecomastia. Give the nipple at least 6-12 months to recover. Nerve regenerate slowly. Keep following up with your surgeon to guide your recovery.
Dr. ES

With liposuction alone as the primary modality for management of your liposuction, it is my impression and experience that the vast majority of your sensation should return within 6-9 months. I am slightly concerned and surprised that you have not had return of some sensation at this point. Return of sensation is typically preceded by dysethesias/paresthesias ("pins and needles" sensations). To the best of my knowledge there is very little that you can do to expedite this process although some practitioners advocate use of Vitamin B6 but this is largely anecdotal.

Hi bra boy,Thanks for the post. Nipple sensation changes is one of the risks that should be discussed prior to gynecomastia surgery.  It is not unusual to have some sensation change, either hypo or hyper sensation, after surgery. This typically returns to normal within weeks to months of the surgery. However, in some cases it can take up to a year or two for sensation to return. There is always a chance that the sensation change can be permanent, though.SIncerely,Dr. Dadvand

Whenever the tissues are traumatized, there can be a change in sensitivity, either less or hypertensitivity. This should diminish over time, as will the tenderness. You have a neuropraxia. Keep the scar moistened and apply sun screen when you are exposed to the sun. There are no ointments or supplements necessary. If you have further concerns, please don't hesitate to speak with your plastic surgeon.

It is very early after the surgery,but as a role your sensation should improve with time and the numbness,tenderness should improve as well.Just be patience tell us what will happand in a year and after.