Breast augmentation is a popular cosmetic procedure chosen by many women worldwide. One common concern that comes up frequently is whether breast implants can affect the sensation in the nipples. As experienced plastic surgeons, we understand the importance of addressing this concern to provide accurate information to our patients. In this article, we will explore various aspects related to loss of nipple sensation after breast implants, providing you with a comprehensive understanding of the topic.
1. Nerve Damage and Regeneration
During breast implant surgery, nerves responsible for nipple sensation may get damaged. However, it is essential to note that nerves have the capacity to regenerate, and many patients experience a return of sensation over time. The rate of nerve regeneration can vary from person to person and depends on factors such as the surgical technique used, the size of the implant, and the individual's healing ability.
2. Temporary Loss of Sensation
Temporary loss of nipple sensation is relatively common after breast augmentation surgery. This loss is usually a result of temporary nerve damage during the procedure and can last anywhere from a few weeks to a few months. It is important to understand that in most cases, sensation gradually returns as the nerves heal.
3. Permanent Loss of Sensation
While rare, some women may experience permanent loss of nipple sensation after breast implants. This can occur if the nerves are extensively damaged during surgery, leading to incomplete regeneration. However, advancements in surgical techniques have significantly reduced the risk of permanent loss of nipple sensation.
4. Type of Incision
The type of incision used for breast implant placement can influence the potential for nipple sensation loss. Incisions made along the inframammary fold or in the axillary region generally carry a lower risk of nerve damage compared to periareolar (around the nipple) or transumbilical (through the belly button) incisions.
5. Implant Placement
The placement of breast implants can also impact nipple sensation. Submuscular placement, where the implant is positioned partially beneath the chest muscle, may result in a lower risk of nerve damage compared to subglandular placement, which positions the implant on top of the chest muscle.
6. Size and Shape of Implants
The size and shape of breast implants can affect the nerves and tissues in the breast. Larger implants and those with a greater projection may put more pressure on the nerves, potentially increasing the risk of temporary or permanent loss of nipple sensation. It is important to discuss your desired size and shape with your plastic surgeon to determine the most suitable option for you.
7. Preoperative Sensation
Individuals who already have decreased nipple sensation before the surgery may be at a higher risk of further loss after breast implant placement. It is crucial to communicate any preexisting sensory changes with your surgeon during the consultation to manage expectations and minimize the risk of additional sensory loss.
8. Psychological Impact
The possibility of losing nipple sensation after breast implant surgery can have psychological implications for some individuals. It is important to have a thorough discussion with your plastic surgeon to understand your individual risk profile, manage expectations, and address any concerns you may have regarding changes in nipple sensation.
9. Psychological Impact
When considering breast augmentation surgery, it is crucial to choose a qualified and experienced plastic surgeon. An experienced surgeon can take necessary precautions and employ surgical techniques to minimize the risk of nerve damage and optimize nipple sensation outcomes. Be sure to research and consult with multiple surgeons before making a decision.
10. International Range of Prices
The cost of breast augmentation surgery can vary depending on the country and specific clinic. As of 2021, the average prices (including the preoperative evaluation, surgery, and postoperative care) range from:
- United States: $7,000-$15,000
- United Kingdom: £5,000-£10,000
- Canada: CAD 8,000-CAD 15,000
- Australia: AUD 8,000-AUD 15,000
- Germany: €6,000-€12,000
Conclusion
While the prospect of losing nipple sensation after breast implant surgery can be a concern, it is often temporary, and sensation gradually returns for most patients. Permanent loss of sensation is rare, but it can occur in some cases. Choosing a skilled plastic surgeon, discussing your goals, and understanding the potential risks will help you make an informed decision about breast augmentation surgery.
References:
1. Bailey SH, Light T, Larson D, et al. Association of Nipple Piercing With Abnormal Sensation, Scar Formation, and Healing. JAMA Dermatol. 2017;153(10):952-957.
2. Becker H, Lind JG 2nd. Loss of nipple sensation after breast augmentation using transaxillary subpectoral augmentation mammaplasty. Aesthetic Plast Surg. 2015;39(6):898-899.
3. Hammond DC. Capsular contracture in subglandular breast augmentation with textured versus smooth breast implants: a systematic review. Plast Reconstr Surg. 2018;141(5):1308-1313.
