Scar tissue blocks feeling in my nipple. Could I get this removed during a BA?

Hello again Gisselle.  Your nipple scar can be addressed during a breast augmentation surgery, but there is always a risk of scar recurrence and further nipple sensation changes.  In terms of the breast augmentation itself, I would first have a detailed discussion with you to clearly define your desired breast outcome goals – this would include the size you would like to achieve, and your ideal breast shape.  I would then select the best breast implant for you based on volume of the implant, projection of the implant, contents of the implant (I typically place silicone), shape of the implant (round or anatomic), surface of the implant (I only perform smooth), position of the implant (over or under the pectoralis muscle), skin stretch of your breast (more stretch would require a larger volume to fill, as in your breast), degree of breast sag (which would benefit more from a lift), breast diameter and overall chest circumference, native breast tissue volume, and any history of prior surgery or trauma to the breast.
The next step for you is to seek out a board certified plastic surgeon who specializes in aesthetic plastic surgery.  In your consultation, be sure your surgeon addresses all your concerns and discusses the surgery details including the position and size of the incision used, the type of breast implants available, the risks and benefits of the procedure, recovery time, and post-operative course.  Also, be sure to see plenty of before-and-after pictures in women who have a similar breast appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome. 

And lastly, I think the most important component of the consultation is to establish a good connection with your plastic surgeon.  It’s the connection that allows you to clearly define your desired breast outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you.  

For more information on breast augmentation, please refer to my link below.

Good luck.  

Mark K Markarian, MD, MSPH, FACS

Harvard-trained Board Certified Aesthetic Plastic Surgeon

Surgery will replace the scar you already have there with another one.  Since you have feeling I would not suggest surgery since things will be very much the same with the risk of losing sensation.

Your surgeon who examined you can examine that are to see if scar tissue would be helpful or not. Removing the scar tissue may not improve your loss of sensation, and could make it worse.