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Nipple Sensation after Surgery

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As a Louisville Plastic Surgeon, a common question from women considering a Louisville Breast Augmentation or from men considering a Louisville Breast Reduction is the issue of nipple sensation after surgery.

Contrary to what may seem intuitive, an incision at the areolar edge does not lead to long  term nipple sensory loss. This is true for a female breast augmentation or breast lift and a male or female breast reduction.

The reason that you loose sensation to the nipple area on a permanent basis stems from an injury to the 4th Intercostal Nerve. This nerve lives deep within the breast on the rib cage surface. It is not affected by a skin incision but rather the deeper maneuvers Louisville Plastic Surgeons make to perform your breast surgery.

Lee Corbett, MD
www.CorbettCosmeticSurgery.com

All posts on this blog are presented by Louisville Plastic Surgeon Dr. Lee Corbett

What are some of the important factors I should consider when deciding whether or not to get breast implants?
Some important factors to consider include:
* Breast implants do not last forever. If you decide to get breast implants, you will likely need additional surgeries on your breasts over your lifetime due to complications or unsatisfactory cosmetic outcomes.
* Many of the changes to your breasts following implantation cannot be undone. If you later choose to have your implants removed and not replaced, your breasts will not change back to the way they looked before your implant surgery. You may have permanent dimpling, puckering, wrinkling, or other cosmetic changes.
* When you have your implants replaced (revision), your risk of complications increases compared to your first (primary) surgery.
* Routine mammograms to screen for breast cancer will be more difficult with breast implants.
* Breast implants may affect your ability to breast feed, either by reducing or eliminating milk production.
Factors to consider specifically about silicone gel-filled breast implants include:
* If your silicone gel-filled breast implant ruptures, you may have no symptoms. This is called a silent rupture because, most of the time, neither you nor your doctor will know that your implant has ruptured.
* The best way to determine whether or not your silicone gel-filled implant has ruptured is with an MRI examination. You should have your first MRI three years after your implant surgery and every two years thereafter.
* Over your lifetime, the cost of MRI screening may exceed the cost of your initial surgery. This cost may not be covered by medical insurance.
Some important factors to consider include:
* Breast implants do not last forever. If you decide to get breast implants, you will likely need additional surgeries on your breasts over your lifetime due to complications or unsatisfactory cosmetic outcomes.
* Many of the changes to your breasts following implantation cannot be undone. If you later choose to have your implants removed and not replaced, your breasts will not change back to the way they looked before your implant surgery. You may have permanent dimpling, puckering, wrinkling, or other cosmetic changes.
* When you have your implants replaced (revision), your risk of complications increases compared to your first (primary) surgery.
* Routine mammograms to screen for breast cancer will be more difficult with breast implants.
* Breast implants may affect your ability to breast feed, either by reducing or eliminating milk production.
Factors to consider specifically about silicone gel-filled breast implants include:
* If your silicone gel-filled breast implant ruptures, you may have no symptoms. This is called a silent rupture because, most of the time, neither you nor your doctor will know that your implant has ruptured.
* The best way to determine whether or not your silicone gel-filled implant has ruptured is with an MRI examination. You should have your first MRI three years after your implant surgery and every two years thereafter.
* Over your lifetime, the cost of MRI screening may exceed the cost of your initial surgery. This cost may not be covered by medical insurance.
*****This post was taken from the FDA website on breast implants.*****
Lee Corbett, MD
502-721-0330
The posts on this blog are authored, unless specifically noted, by Louisville, Kentucky cosmetic plastic surgeon Lee Corbett.

Breast reductions and Breast lifts are very similar operations. In a lot of cases the incisions are similar, both serve to lift the breast and re-position the nipple. But there are some significant differences.

The reasons women seek the operations differ. Both want their breasts lifted but reduction patients also tend to complain of neck, shoulder, and upper back discomfort. They also complain of shoulder grooving and of developing rashes under their breasts.

The obvious is that reductions significantly downsize the breast. I don’t know that there is an average, but most women will drop 2 or 3 cup sizes after a reduction. After a lift, most women experience a slight decrease in their bra size. In fact, a lot of times women who have lifts elect to have an implant placed in order to re-establish the fullness at the top portion of their breasts.

Finally, reductions tend to be considered medically necessary and covered by insurance. Lifts are considered cosmetic and financial responsiblity lies solely with the patient.

Lee Corbett, MD

www.CorbettCosmeticSurgery.com

502.721.0330

All posts on this blog are authored by Kentucky Plastic Surgeon, Dr. Lee Corbett. Dr. Corbett specializes in cosmetic plastic surgery including facelifts, browlifts, blepharoplasy, Botox, Juvederm, Restylane, breast augmentation, breast lifts, breast reductions, body lifts, liposuction,  and tummy tucks.