Permanent loss of nipple sensation after breast reduction surgery. What are the chances of getting sensitivity back?

Question

I got breast reduction surgery almost 3 weeks ago, and one of my biggest fears was a loss of nipple sensation. The night after surgery I gave my left one a poke and thankfully it was sensitive; hypersensitive even. My right breast on the other hand was significantly larger than my left and therefore the surgery was more extensive. Unfortunately my right nipple is still numb. No sensation at all. However it still gets erect when touched. What are the chances of getting sensitivity back?

Frank Lista, MD · Answer

A change in nipple sensation after a breast reduction is a common complication which will usually subside 4-6 weeks post op. With that being said, some women heal faster than others and vice versa. If this occurrence continues within the next few months, consult your surgeon and carefully discuss your options so that he/she can further advise the next steps to take.

Gary Lawton, MD, FACS · Answer

At
this point in your recovery, it is much too soon to be worried about the
outcome.  It takes time for things to heal.  There may be sensation changes for up to 2
years. It may be 6 months or more before the shape has reached its final
look.  Be patient.

Michael Olding, MD · Answer

After performing  thousands of breast reduction  surgeries, I can comfortably tell you that because you have loss of sensation at 3 weeks does not mean that you will have complete loss of sensation at 1 year.   I have had permanent loss of sensation in two patients , both of whom were large reductions.  That's a very small percentage, but if you are that person, it can be problematic and even depressing for some patients.   However, at 3 weeks it is entirely too early to know what the result will be at 52 weeks.  Although I am certain that your surgeon discussed the possibility with you, it does not make the "waiting period" any less problematic.  In general , having erectile function of the nipple is usually a good sign that at least some sensation will return.

James Southwell-Keely, MD, FRACS · Answer

Hello there and thank you for your question,The sensation returns in most patients nipples over a period of months. I tell my patients that up to 1/3 will have temporary loss of nipple sensation while 5-10% will have hypersensitivity. Less than 5% of patients will have permanent reduced nipple sensation. If you have any ongoing concerns you would be best served addressing them to your surgeon.All the best,James

Michael Eisemann, MD · Answer

A large breast reduction may result in permanent loss of nipple sensation and inability to breast feed. Sensory innervation to the nipple and areola is anomalous can can not be predicted with certainty. Many months are necessary before sensory recovery can be expected if at all..Michael Eisemann M.D.Triple Board CertifiedHouston,.Texas

Permanent loss of nipple sensation after breast reduction surgery. What are the chances of getting sensitivity back?

Answers (6)