Nipple erection/ inverted nipples - how common is it to lose all nipple sensation?

There is no surgery that is completely without risk, but the risk of permanently losing all nipple sensation or the ability for the nipples to react to temperature or tactile stimulation is uncommon. Some patients do experience temporary numbness immediately after surgery due to swelling and stretched nerves, but most regain this sensation within the first few months and it's rare to not regain it by a year.

The loss of nipple sensitivity following a breast lift is directly related to the surgical technique used, with central pedicle-based techniques having the lowest risk of sensitivity loss. From your description, it sounds like you're planning an explantation mastopexy procedure. In such cases, to preserve breast volume and nipple sensation, it's essential to choose a lift technique that doesn't involve tissue reduction. The Push-up Lift breast technique stands out as the most suitable option for you. With this method, nipple blood supply, sensation, and breast volume are preserved to the highest possible degree, while also effectively reshaping the breast.

There are a variety of techniques for breast lifts. One of the most common techniques is the lollipop, which often results in nipple numbness. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.