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.

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.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

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.

Zachary Farris, MD, FACS
Dallas Plastic Surgeon
5.0 out of 5 stars 16 reviews

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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.

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
3.9 out of 5 stars 23 reviews

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