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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 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.
I gree with my colleagues. Free nipple grafts have their problems, however when necessary they serve a necessary purpose. It is very rare for me to ever use free grafts. Find a Board Certified Plastic Surgeon who does a lot of breast surgery. He / she will help you understand your breast and what the best approach to managing them would be.Good LuckStephen M. Davis, MD, FACSGreen Hills Plastic surgery
Free nipple grafts have many problems, which include loss of sensation, loss of colour, loss of nipple projection, or a non-take. The "take" is most often very good and the nipple heals well, though the other issues might cause surgeons to use the technique only as a last resort if nipple circulation is very much in doubt.
I perform free nipple grafts in patients with excessively large breasts and in patients with breast cancer,where a lumpectomy is being performed or where a reduction is required on the opposite breast.Scarring can be kept to the breast fold without a vertical incision. Nipple grafts usually take very well ,however pigment loss can be a problem especially in dark skinned patients
This can often be treated with liposuction. When skin resection is needed, the scars tend to fade and not be very visible, although this varies.Best of luck, Mats Hagstrom, M.D.
If there is a treatable cause, it needs to be found and treated first .Once there are no further tests or treatments needed, your regular doctor PCP or hematologist can give you medical clearance for an elective procedure .Always let your surgeon know about any medical condition you have or have...
Breast Reduction surgery can be done as an Outpatient so that you can go home the same day about 4 hours post surgery, provided you are awake, alert, comfortable, able to walk, eating and drinking and controlling pain with oral pain killers. You cannot drive and stay at home alone for the first day.
