5 years post-op

Q: How to improve breast sensitivity, stop numbness in the nipple and make the area below it feel touch and changes in temperature?

Submitted by Q-A from clee on Thu, 06/09/2016 - 11:43

I went for a breast augmentation -2011(implants over the pectoral muscle/inframammary incision. I felt numbness under the nipple area and loss of sensitivity. After 1 year, no changes. I decided in 2015 to have the implants removed, but the surgeon ended up putting a smaller one not to make big scars or have a saggy breast. my scar is bigger now. I am looking on how to improve sensitivity (stop numbness in the nipple and area below it to feel the touch and changes in temperature.

A: Loss of sensation not likely to improve 5 years following breast augmentation

The nerves giving sensory innervation travel on the external (lateral) border of the breast.  These nerves are not easily seen and often suffer a stretch injury during breast augmentation from the pocket dissection and implant placement.  In the vast majority of patients, the nerves are intact but "stunned" (medically termed neuropraxia) and sensation returns to normal.  This sensation usually returns within 3 months but may require up to 18 months.  Persisting loss of sensation beyond 18 months suggests that the nerves have sustained a greater degree of injury with resulting permanent residual sensory loss.  Regrettably, implant downsizing / removal  are unlikely to alter the state of the nerve damage after your primary breast augmentation.  It would be worthwhile to discuss this prognosis in greater detail with your plastic surgeon.  Wishing you well.

Q: Breast Pain Very Scared!

Submitted by Q-A from clee on Sun, 05/15/2011 - 11:35

I've had saline under the muscle implants for 5 yrs. I got a deep tissue massage 1 week ago on my back. It was very uncomfortable for my boobs. After a while my left boob started to hurt a lot so she stopped. Afterwards when I looked at my left breast there was a small red bump which hurt to press on. My left breast is burning and hurts to press on. my nipple is sensitive. The bottom half of the areola hurts when i press on it where the valve is. did i damage the valve or tissue or chest muscle?

A: Difficult to know if the bump arose from the massage

Based on your provided information, it is difficult to know if the bump arose from the massage or was simply painful because of the massage. It is very possible that an infection in the skin became worse with the massage. If the lesion becomes worse or fails to improve in the next several days, it would be prudent to see your family doctor or surgeon. With your photos provided, I doubt there to be a problem with the implant itself.