When the nipple has to be moved in the course of breast surgery


Breast surgery is one of the most frequently performed procedures in plastic and aesthetic surgery. First and foremost is the Breast augmentation, followed by the Breast lift and Breast Reduction. The latter are usually performed in the case of a very large breast, which can be both a physical and psychological burden for women. Breast lifts are often performed after pregnancy, when the breast no longer produces milk. They are also performed after severe weight loss and a subsequent sharp decrease in breast volume and sagging of the tissue.

If a woman decides to undergo surgery, she should seek consultation with a specialist beforehand and have the possible risks and consequences explained to her. An important aspect is that most breast operations require the nipples to be moved. This often results in a Reduction of sensitivity of the nipples.

Why do the nipples need to be moved?

In the course of breast surgery, the nipple is cut out and moved upwards. Otherwise, the nipple would no longer be in the right place visually, due to the change in volume and shape. In most cases, the nipple is moved upwards.

In this case, the dislocation takes place including the glandular body, blood vessels and nerves. takes place. The nerves leading to the nipple are injured or separated in the course of the transfer, which can lead to sensory disturbances in some cases, but these normalize over time in the majority of patients. The ability to breastfeed remains intact in most cases.

The incisions around the nipple are minimal, so the scars left behind are small and inconspicuous. With good scar care, they heal quickly. If Dr. Bernard finds after the operation that scar problems occur or that the nipples that were moved are not symmetrical after the healing process is complete, corrective surgery is performed.

What are the consequences of nipple displacement?

After the procedure, the woman may initially have a diminished sensation in the nipples. The damaged skin nerves leading to the nipples must first heal; also a complete numbness or hypersensitivity occurs. However, these sensory disturbances recede after a few months. In very few cases, disturbed sensation remains permanently.

The circulatory disturbances of the nipples, which are in extreme cases can even lead to loss, are very rare and are partly related to various risk factors such as smoking, obesity and a blood sugar disorder. The displacement of the nipples may partially restrict their blood supply and drainage. This is noticeable by discoloration of the nipples and is the most serious complication of this procedure.

All of these risks should be considered when planning and implementing the procedure by a experienced specialist like Dr. Bernard minimally. She has already successfully performed numerous breast operations. Nevertheless, before deciding to undergo surgery, women should be aware of the possible consequences and seek intensive and personal advice.