The importance of nipple sensation varies greatly between men. If there is some sensation loss after male breast reduction surgery, many men are not concerned because the trade off of getting rid of their “man boobs” outweighs this consequence. But for some men the nipple sensation is very erogenous and the thought of losing this is enough to negate surgery. It is very important to discuss all of the pros and cons with your surgeon before proceeding with surgery.
The vast majority of San Francisco Bay Area gynecomastia patient’s have temporary loss of fine sensation of the nipples and surrounding skin, this is normal. This is referred to as neurapraxia. In neurapraxia, there is no alteration in the structure of the nerve; however conduction of impulse is interrupted due to injury or surgery. This type of injury can be recovered from completely. Blood supply disruption and nerve compression are the effects of such nerve injuries. Nipple sensation usually returns within a few weeks, but for some it can take a long time even 6 to 12 months. Nerves regenerate slowly, how it returns is extremely variable depending on the surgical techniques used and the extent of surgery. Return of sensation is typically preceded by dysesthesia/paresthesia (pins and needles sensations).
Dr. Delgado advises his Marin County cosmetic surgery patients to massage during the recuperation phase which helps reduce hypersensitivity of the skin as sensation returns.
Gynecomastia.org has comments by post surgical patients regarding changes they have experienced with nipple sensation. In order to read posts you need to sign up, but there is no charge to become a member and the site has a tremendous amount of valuable information.