With breast lifts, must the nipple be removed and repositioned?

This is a frequent question. I believe becuase the final scar looks like the nipple and areola was cut off and moved, but in fact this is never done. The nipple and areola remain attached to the breast so that sensation and blood supply are maintained. The skin around it is adjusted by excising as well as adjusting the position of the breast tissue to reshape the breast and better position the nipple to sit in the center of the breast in the most projecting point. Rarely is there any long term changes in sensation which is usually the next question that I hear. This is a very popular procedure and there are many techniques that can be done to achieve a lift. This is something that requires a consult with a board certified plastic surgeon to review the options that will work best for you.

The removal of the nipple is an old fashioned technique that is not particularly appropriate in any situation. 

Nipples are not removed during breast lift (mastopexy) surgery. The most important goals of breast lift surgery are to reshape the droopy (ptotic) breast and to reposition the nipples in a more aesthetic position on the reshaped breast mounds. Be sure you seek the advice of a Board Certified Plastic Surgeon who can review all your options with you. Often times in my practice, breast lift surgery can be performed under local anesthesia. Be sure your mammogram is up to date prior to your consultation and come prepared to discuss your goals for breast shape and size. Good Luck!

Fortunately, the nipple is left attached with underlying blood supply and nerve supply with most breast lifts. The incision going all the way around the nipple and areolar complex does give the appearance after surgery that, perhaps, it was removed and replaced. This is a common question/ concern I hear from patients. Rarely, free nipple grafts could be employed during a breast lift; this does involve removing and "replacing" the nipple and areola. If your surgeon felt that this could be needed your case, it would certainly be something that he or she would discuss with you prior to surgery.  

With almost every breast lift, their is an incision that goes all the way around the nipple areola.  This gives the appearance that the nipple was removed, but that is not the case.  The nipple is always attached to breast tissue underneath.  With a lift you are tailoring the skin around the breast tissue and nipple.  Think of it like a dress that has too much fabric.  You are tailoring the dress, but keeping the breast tissue and nipple intact.  I hope this helps.