Free nipple technique rarely used with breast lift
Congrats on the massive weight loss ! Free Nipple Graft is only required in reduction of massively enlarged breasts or extremely long length to be lifted with a breast lift. It results in inability to breast feed, loss of sensation, loss of nipple projection, incomplete take of the nipple/areolar graft and other complications can occur with this procedure. In my practice this is a very unusual as even very large or long breasts can be reduced with other techniques. On the other hand this is a technique that should be considered when it is expected that there is not sufficient blood supply for the nipple and areola survival in extreme cases. One option your surgeon can try is to see if the nipple/areola has a sufficient blood supply at the time of surgery.
Breast feeding after breast lift
Congratulations on your weight loss. That's a fantastic achievement!
Breast lift can have an adverse effect on breast feeding ability and difficulty or inability to breast feed after surgery is a possible risk. However, this risk is rare.
How will nipple surgery during breast lift affect breastfeeding?
Hello! Thank you for your question! Breast procedures such as the
breast lift and breast reduction certainly result in a more shapely,
perky, and fuller appearance of your breasts along with raising of the
nipple-areolar complex to an appropriate position. Since there is an
incision made around the areola along with some rearrangement of tissue
of the breast, there is a risk, albeit very small, of change in
sensation to the area. However, in terms of breastfeeding, studies have
shown that there is no increased risk of changing your ability to do so
after breast procedures. Not every woman can breastfeed...thus if you
can now, your ability to do so will not change after such procedures. If you do need a free nipple graft , in which as you describe, the nipple-areolar complex is actually removed and grafted back on to the breast, then your ducts have completely severed and sensation and breastfeeding ability have been severed. This is a very unlikley situation, but one which should be discussed with your plastic surgeon.
Nipple surgery during Breast Lift and breast feeding
In most cases, in full breast lifting, the nipple/areolar complex is left attached to the pedicle flap. So there is a higher percentage of attaining normal sensation and breast feeding postoperatively. I have not heard of removing the nipple/areolar complex in only a breast lift, but in a long pedicled reduction/lift that is one of the surgical options. If this free nipple/areolar graft is done the possibilities of having decreased or absence of sensation and the in ability to breast feed exist. You need in to be guaranteed to be able to breast feed than the option of no surgery until after the pregnancy may be the best for you. Please be careful.I
Breast Lift and Breast Feeding
There is no definitive statistics regarding the number of women who can not breast feed but the percentage is reportedly less than 5% for decreased or total inability to breast feed post surgery. In most cases the areola/nipple complex does not need to be detached for breast lift. Consult in person with 3 board certified plastic surgeons to understand your options.
Weight loss and breast lift sensation changes
Usually the nipples do NOT need to be removed as free nipple grafts during a breast lift only. There are exceptions to this of course.
With the skin being so loose as you describe, then you will probably be a longer distance for the nipple to be moved upward. The good part of loose tissue like this is that a good amount of tissue can stay attached to ensure the blood supply to the moved nipple complex.
No promises can be given about breast feeding but as mentioned, if there is a lot of tissue remaining attached to the moved nipple complex, this also reflects the ducts that stay attached to the moved nipple complexes. The more that stay attached, the better the chances of the ducts working for breast feeding. However, you will have to face the consideration that you will not be able to breast feed.
Breast-feeding after Breast Lifting?
Thank you for the question.
Generally, the nipple/areola are not “detached” when performing breast lifting surgery.
Yes there is a risk of a decreased ability to breast-feed after breast lifting surgery. Exact percentages are hard to come by ( because some ladies are not able to breast-feed even without having undergone breast surgery) but my estimation would be 5 percent risk of a decreased or complete loss of ability to breast-feed with this operation.
Patients must weigh this risk (along with many others) against the benefits of the procedure when contemplating breast lifting surgery.
I hope this helps.
Inadequate breast feeding
now the nipples will still be attached to the rest of the breast tissue when doing breast reduction unless taken as a skin grafts which i dont think its you case
all patient have to know that milk production will be affected to certain degree because we in this procedure will remove some of the breast glandular tissue.
we can not tell you that breast feeding will disappear completely or it will stay the same 100 % .
Breast feeding usually possible after breast lift
Typically, an implant placed beneath the pectoral muscle would be required to restore volume in the breast you described. The breast tissue and nipple could then be lifted up and placed over the implant to restore the breast shape with the implant supplying the volume. Any excess skin would be excised or removed.
It's unlikely the nipple/areola complex would have to be totally detached; this is usually reserved for a few instances in breast reduction cases. As far as breast feeding goes, if you have been able to breastfeed in the past, it's likely you'll continue to be able to do so. Consult a board-certified plastic surgeon who can help you determine the best plan of action for your specific body type.
Breast lift will not affect breast feeding.
in a well done breast lift, the nipple is slid up but never detached. Breast feeding is not affected. Breast feeding is not even affected in a breast reduction.