The amount of nipple sensation you will have after FTM top surgery will vary depending on the type of surgery you have and the skill of your surgeon. In general, nipple sensation is diminished after FTM top surgery, but it is not always completely lost.

The most common type of FTM top surgery is double incision top surgery. This procedure involves making two incisions across the chest, one under each breast. The surgeon then removes the breast tissue and reshapes the chest wall. In some cases, the nipples are preserved, but they are often moved to a higher position on the chest. This can cause some loss of sensation in the nipples, but it is usually not permanent.

There are other types of FTM top surgery that may cause less nipple sensation loss. For example, nipple-sparing mastectomy involves making smaller incisions around the areola, and the nipples are typically preserved. This procedure can help to preserve nipple sensation, but it is not always possible to achieve the same level of sensation as before surgery.

The skill of your surgeon can also affect the amount of nipple sensation you have after surgery. Surgeons who are experienced in performing FTM top surgery are more likely to be able to preserve nipple sensation.

If you are concerned about nipple sensation after FTM top surgery, you should talk to your surgeon. They can discuss your options and help you decide which type of surgery is right for you.

Here are some additional things to consider:

• Your age: Nipple sensation is more likely to be preserved in younger people.
• Your smoking status: Smoking can damage the nerves in the nipples, so it is important to quit smoking before surgery.
• Your medical history: If you have any health conditions that affect the nerves, such as diabetes or Raynaud’s disease, you may be more likely to experience nipple sensation loss.

It is important to remember that every person’s experience is different. Some people may experience complete loss of nipple sensation after FTM top surgery, while others may retain some sensation. The best way to know what to expect is to talk to your surgeon.

FTM top surgery can potentially affect nipple sensation, although the extent and nature of the impact can vary among individuals. The changes in nipple sensation depend on several factors, including the surgical technique used, individual anatomy, and variations in healing. Here are some points to consider:

1. Temporary Numbness or Altered Sensation: It is common to experience temporary changes in nipple sensation after FTM top surgery. This can range from numbness or decreased sensation to heightened sensitivity or altered sensations. These changes are typically due to the disruption of nerves during the surgery and may improve over time as nerves regenerate.
2. Permanent Sensation Changes: In some cases, individuals may experience permanent changes in nipple sensation after FTM top surgery. This can manifest as reduced sensitivity, loss of sensation, or persistent altered sensations. The likelihood of permanent changes can be influenced by factors such as the surgical technique used, individual nerve anatomy, and the body’s healing response.
3. Nipple Grafts: In certain FTM top surgery techniques, such as double incision mastectomy, nipple grafts may be performed. This involves detaching the nipple-areola complex from its original blood supply and reattaching it in a new position. Nipple grafts can result in a partial or complete loss of nipple sensation, as the nerves supplying the nipple are severed during the procedure.
4. Individual Variations: It’s important to remember that individual variations exist, and the impact on nipple sensation can vary. Some individuals may retain normal or near-normal nipple sensation after surgery, while others may experience more significant changes. The degree of nipple sensation change cannot be predicted with certainty.

It’s essential to discuss the potential changes in nipple sensation with your surgeon during the consultation. They can provide information specific to the surgical technique they will use and discuss the likelihood of sensation changes based on your individual circumstances. Understanding the potential risks and benefits will help you make an informed decision about FTM top surgery.

Keep in mind that while nipple sensation is an important aspect for many individuals, it may not be the sole determining factor in the decision to undergo FTM top surgery. The overall goals of achieving a masculine chest contour and improved gender affirmation often take precedence.