During a breast augmentation, do all doctors remove the nipple/areola and reattach it? (Photo)

There are very few absolutes in cosmetic surgery, so it's not accurate to say surgeons "always" do something. In fact, the most popular breast augmentation incision, the inframammary incision, doesn't involve the nipple or areola at all. This is one reason it's so popular. If you're satisfied with the appearance of your nipples, there's likely no need to manipulate them during surgery.

No. Actually, during a standard breast augmentation we do not detach the nipple or areola. The only circumstance in which this occurs is when we perform a breast reduction or breast lift, and only in extreme cases. In your case, this probably wouldn't be necessary, but it is best to discuss this with your surgeon prior to your surgery. 

Thank
you very much for your question and photograph. There are a variety of
different breast augmentation procedures available today, including specific techniques
to lift or resize the nipple/areola. However, unless you are requesting changes
in the shape of your nipple, or are looking for a breast lift, there is
normally no need to remove and reattach the areola complex. I suggest
scheduling a breast augmentation consultation with an experienced, board
certified plastic surgeon in your area. At this time, he/she can explain all of
your breast augmentation options, as well as explain exactly how each of these
techniques is performed. Together, you can decide on the best time and
technique for your own breast augmentation.

Hi.  Your nipples will not removed and replaced during your breast augmentation.  Your areola will be stretched a little since the implants will stretch all of your breast skin, but usually it is not too much of a change.  I think you will have a nice result with your augmentation, but if you are still concerned, then talk to your PS about these concerns.  That way, he/she can address them with you before you have your surgery.  Best of luck!

Many techniques exist in breast surgery, and the key is working with an expert, board certified plastic surgeon to get the best plan for the individual.We generally prefer inframammary incisions (which does NOT involve removing and reattaching the nipple) and a dual plane technique with the implant behind the muscle.  We use gummy bear implants for almost all patients as they are the best performers available. The final size depends on your individual body and measurements of the breast and chest, as well the desired result you are looking for.  We then match the correct size implant for the patient and desired results. 

Thank you for your question. During breast augmentation alone surgeons do not manipulate the nipple or areola. Augmentation most of the time is done through an incision in the breast fold, and sometimes through an incision at the lower border of nipple/areola complex. With placement of the implant your skin and tissue in the breast stretches, and therefore most people will experience some stretching of the nipple and areola as a result. 
Looking at your picture, you do have small nipples/areolas and therefore you are a candidate for breast augmentation through the incision under your fold. Depending on the size of the implant you choose, you will experience some degree of areola stretching. 
When patients need a breast lift, surgeon will make an incision all the way around the nipple/areaola, and can decrease the size of it if desired by the patient. 
Hope this answers your question. Good luck.
Sincerely, 
Olga Bachilo, MD

During an augmentation, the nipple and areola are not removed. If the procedure is combined with a mastopexy, then the nipple and areola are elevated on the breast, but not detached so that sensation is maintained. After an augmentation some nipples are more pronounced due to the implant pushing the tissues forward. Good luck with your procedure!

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  Your nipple will not be removed during this surgery.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

You can have a periareolar incision but the areola is never removed.  The three incision choices are IMF, periareolar, or transaxillary.

Thanks for your inquiry and pictures,  during a routine breast augmentation, your nipple will not be removed, during most breast lifts--your nipples are elevated but once again they are not removed but rather moved with breast tissue.  Good Luck.