Mastopexy with Nipple Preservation - what will give the best chance to save nipple sensation? (Photos)

Question

I am currently in the process of looking at options for breast reduction surgery. Background: I had a complicated abscess of my left breast 13 years ago which required multiple aspirations, a small and eventually a large bore drain. I did also have quite a large tunnel from the abscess and from the large bore drain which stayed in for nearly 2 weeks. This left me with some mild internal fibrosis, a post drain scar, and some loss of mass of my left breast. I had very uncomfortable hypersensitivity of the left nipple for 2-3 years which gradually improved. My biggest concern with breast reduction is loss of nipple sensation. I know it is never guaranteed but I wanted to do as much research taking into account my past history of breast disease. I am a 36G and I would prefer to prioritise nipple sensation over reduced size. Should i go down to 36D-DDD or have a smaller reduction. Would I need to look for a plastic surgeon that specialises in breast cancereconstructive breast surgery? I really appreciate any suggestions and advice

John Reilly, MD, FACS · Answer

Hello, I think you can have some very nice changes if you're considering a breast reduction. Volume will be reduced, nipple diameter will be reduced to be proportionate to the smaller breast and nipple position can be centered on that new mound. The previous abscess drainage should not play a significant role for an experienced plastic surgeon. Loss of nipple sensation in a  breast reduction of your size should be exceedingly rare. Good luck.

James N. Romanelli, MD, FACS · Answer

Dear PB:

Given your history of abscess, drainage, and resulting fibrosis with previous nipple hypersensitivity, your concern about preserving sensation is very valid. From your photos, I can see you're a good candidate for reduction, and prioritizing nipple sensation over maximum size reduction is wise. A more conservative reduction to a D-DDD cup would likely preserve more sensation than going smaller. I'd recommend seeking a plastic surgeon experienced in both cosmetic and reconstructive breast surgery, as they'll better understand working around scar tissue and preserving nerve pathways in complicated cases like yours.

Best of Luck, Dr. Jim Romanelli

North Shore Cosmetic Surgery | nscsurgery.com | 631-503-0746

Darryl J. Blinski, MD · Answer

Your story is quite interesting. Possibility for breast lift reduction with nipple preservation of sensitivity is a 50-50 option. The surgery should be undertaken slowly with a bipedal type reduction recommendation to help preserve more sensitivity to your nipple. Best of virtual concert with expect fees to arrange from $15,000-$30,000 regards again best virtual consult first also recommend preoperative ultrasound and mammogram.

Mastopexy with Nipple Preservation - what will give the best chance to save nipple sensation? (Photos)

Answers (3)

More Breast Reduction Questions

Will my nipples be reduced to be proportionate to my breasts during a reduction? (Photos)

Nipple size - can nipple reduction be combined with breast reduction surgery?

Free Nipple Grafting Procedure - are there any alternatives?

Reduction Natural vs Not Perky - how does tissue density determine results?

Considering a second reduction 10 years later - could I be reduced from a C/D cup to a B cup and add an internal bra?

Breast reduction, lipo and BBL on a petite women (4’8, 113lbs) - can this be done in one procedure? (Photos)

WE SEND PRETTY
EMAILS