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The sensation to the nipple comes mainly from the 4th anterolateral intercostal nerve. This nerve travels from underneath your 4th rib on the side of your chest to the nipple. It can therefore be damaged by surgery between the nipple and the side of the chest. Sensation is more commonly affected in breast reduction surgery than in augmentation. In one study (Gonzales F et al, 1993, PRS) sensation was preserved in 85-96% depending on the degree of breast reduction. A process called neuronal sprouting (= re-growth of damaged nerves) can help to regain sensation. In my experience loss of sensation is not a major issue in breast reduction or augmentation surgery.

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Mr. Hagen Schumacher

Plastic Surgeon

Huntingdon

Yes. The chances of successful breast feeding depend on the surgery and varies between 62% and 65% according to Cruz et al (2007 PRS).

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Mr. Hagen Schumacher

Plastic Surgeon

Huntingdon

The modern breast implants do not need to be changed routinely unless there is a problem, such as capsular contracture distorting the implant or causing pain, rupture or leakage of silicone, infection.

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Mr. Anindya Lahiri

Cosmetic Surgeon, Plastic Surgeon

Birmingham

There is no medical recommendation to have this done as such. Breast reconstructions are done because patients want to improve the appearance. Age is not so much of an issue if patients are otherwise medically fit. Breast reconstruction can be done with implants or tissue transfer. Tissues commonly used for breast reconstruction are taken from the back (Latissimus dorsi flap) or from the tummy (TRAM flap or DIEP flap). The definite method depends on patients' expectations, medical fitness, whether or not radiotherapy was done and others. To find out what is best, I would recommend to ask a plastic surgeon who can advise you on the most appropriate method.

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Mr. Hagen Schumacher

Plastic Surgeon

Huntingdon

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