Free Nipple Graft vs. Pedicle method?

  You not given us enough information nor heavy given us any photographs to be able to truly answer questions.  Generally, nipple graft operations are considered inferior to a pedicled operation, because patients with a nipple graft will lose feeling and ability to breast feed.  Therefore, the nipple graft operations is it is almost never the 1st choice for a surgeon and patient.  If however, you're not a candidate for the pedicle operation, then your simply not a candidate for the pedicle operation and does not involve the choice.  The only choice in that scenario would be not to have breast reduction.

In my experience free nipple graft techniques are rarely done anymore, except for extreme breast sizes. Best of luck. 

Thanks for your question. It has been over 15 years and 1000 or more reductions since I have had to do a fng. For me 12 cm is not enough length to consider a fng. There are other facts that I consider but it is a very unusual case were I have a discussion about this anymore. In plastic surgery we are all victims of our training and since there are multiple techniques to doing a BBR then maybe consider another opinion or two. Good luck. 

I almost never to do FNG except where there  has been previous surgery which compromises the pedicle. Even then I might make the decision during surgery. So I would do the FNG if when I raised the pedicle the nipple blood supply looked suspect.12cm pedicle length would not necessarily cause me to go for a FNG.Pedicled nipples tend to look more natural and heal better (unless they do not survive!). Pedicle are more likely to retain sensation and possibly breast feeding potential.I would nearly always use a pedicle if I can.However as always you need to be assessed by a suitably qualified and experienced surgeon to get the best advice.

If your distance is only 12 cm's from the fold, then it should be possible to perform a pedicle reduction. An exam in person is key. Best of luck.