Is It Possible to Regain Nipple Sensation with Breast Implant Downsize?

Hello! Thank you for your question! Your symptoms sound like your
nerves regenerating. Breast procedures such as the
breast augmentation and breast lift/reduction certainly result in a more
shapely,
perky, and fuller appearance of your breasts. With any breast procedure
there is a risk, albeit very small, of change in
sensation to the area. The reported rate of sensation changes
(decreased, loss, or increased) is ~7% for lift/reductions and much
smaller for breast augmentation. In my experience, this rate is
reportedly much lower, but is higher when tissue is excised or the
amount of lift that is needed, so the breast reduction procedure has a
slightly greater risk. It can take up to a year for full sensation to
return. Re-educating your nerves to these areas by using different
textures when showering and putting on lotion often helps.  It may help as the pressure from beneath the nipple will be decreased.  It is one risk of such a procedure, and
one that you must consider, amongst others, as with any surgical
procedure. You should consult with a plastic surgeon well-trained in
breast procedures who will examine and discuss with you the various
risks and benefits of the procedure(s) and assist you in deciding if
such a procedure will be the right decision for you.

You need an evaluation by a Board Certified Plastic Surgeon first.  Second, you need to know bigger implants are not the way to restore sensation.  If this occurred, this is rare, and not the norm.  A smaller implant may help, but unlikely after 2 years.

Dear Naida,Thank you for your post. In general, most women who have a disturbance in nipple sensation, whether it be less (hypo-sensation), or in some cases too much (hyper-sensation), the sensation goes back to normal with 3-6 months. Occasionally, it can take 1 - 2 years to be normal. Extremely rare, the sensation never goes back to normal. This is extremely rare in augmentation alone, more common in lift or reduction. Signs that sensation is coming back are needle type sensation at the nipple, itchiness at the nipple, or 'zingers' to the nipple. The number of women that lose sensation is much lower than 10%, closer to 1% in a simple augmentation. Unfortunately there is no surgical correction for this. Massaging the area can help sensation normalize faster if it is going to normalize, but will not help if the nerve does not recover. In women with hyper-sensitive nipples, this will go away with time. usually 3 months or so. In the interim, I have them wear nipple covers or 'pasties' to protect them from rubbing.  After 2 years it is unlikely that down-sizing the implant will cause regaining sensation.  Down-sizing the implant may cause saggy breasts, however, and may necessitate a breast lift.Best Wishes,Pablo Prichard, MD

ALL the previous experts say do not count on it. I agree in principal but "anything" can happen so if you want to downsize do not do it for regaining sensation do it for a smaller size. 

Dear Nadia,
I would not bank on improved nipple sensation. I cannot quote any studies but this improvement is doubtful. Good luck