Do I have to get nipples removed for breast reduction?

I was told that because of my large breast size(measurement 15 from crease underneath to nipple, im guessing they used cm) that I would have to have my nipple removed or I may end of losing it due to tissue death. Is this true? Is there a way I can get a reduction with my nipple repositioned instead of removed? Thanks

Doctor Answers 5

Find a new surgeon

I would venture that is is almost never required to remove the nipple.  15 cm is not that long.  You have run up against a very old fashioned surgeon, or one that was poorly trained.  Find a new surgeon.

Find a new surgeon

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
I would venture that is is almost never required to remove the nipple.  15 cm is not that long.  You have run up against a very old fashioned surgeon, or one that was poorly trained.  Find a new surgeon.

Free nipple graft

I almost never perform a free nipple graft, and my inclination to perform a free nipple graft will go up when the distance from the fold to the nipple is greater than 20 cms.  I have treated many large breasted women using a standard inferior pedicle.

Free nipple graft

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
I almost never perform a free nipple graft, and my inclination to perform a free nipple graft will go up when the distance from the fold to the nipple is greater than 20 cms.  I have treated many large breasted women using a standard inferior pedicle.

Do I have to get nipples removed for breast reduction?

Thank you for your question.  In my practice, I've never had to detach the nipple as part of a breast reduction.  This includes many breast reductions performed with sizes much larger than yours.  It's usually left as a last resort option if tissue viability is potentially compromised at the end of a case.  Be sure to consult with several experienced board certified plastic surgeons.  Good luck.

Do I have to get nipples removed for breast reduction?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Thank you for your question.  In my practice, I've never had to detach the nipple as part of a breast reduction.  This includes many breast reductions performed with sizes much larger than yours.  It's usually left as a last resort option if tissue viability is potentially compromised at the end of a case.  Be sure to consult with several experienced board certified plastic surgeons.  Good luck.

Free nipple grafting

Nipple removal and grafting is only used in patients with an extremely long nipple to inframammary-mammary crease distance. In order to appropriately position the nipple, it must be removed and replaced as a graft. Nipple necrosis and sloughing is a risk in either type of procedure.  Discuss your concerns with your surgeon so that you can have a better understanding of the procedure, the reasons which might necessitate it and the risks.

Free nipple grafting

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Nipple removal and grafting is only used in patients with an extremely long nipple to inframammary-mammary crease distance. In order to appropriately position the nipple, it must be removed and replaced as a graft. Nipple necrosis and sloughing is a risk in either type of procedure.  Discuss your concerns with your surgeon so that you can have a better understanding of the procedure, the reasons which might necessitate it and the risks.

Breast reduction

Photos are essential for a question like this. I will say that free nipple grafting today is extremely unusual but there is still a place for it. Even if it is done the complication you're describing  can happen book is extremely unusual.

Sherwood Baxt, MD
Paramus Plastic Surgeon
3.8 out of 5 stars 25 reviews

Breast reduction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Photos are essential for a question like this. I will say that free nipple grafting today is extremely unusual but there is still a place for it. Even if it is done the complication you're describing  can happen book is extremely unusual.

Sherwood Baxt, MD
Paramus Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.