A few of us had liposuction done, mine was included as my surgeon does it to improve shape, all surgeons have their personal style/ preference.
Nipples though … the general start point is that the nipple is retained on a ‘pedicle’ of tissue and repositioned. This retains the blood flow, so the nipple carries on doing its thing in its new position … it’s just smaller, as the aerola won’t be as big on the smaller boob. But you may lose sensitivity/ sensation etc. Mine are still sensitive but are not the same as they were which I’m fine with. They are neat & no longer point downward 😂. Some people lose all sensitivity … or it goes the other way and they are more/ hyper sensitive. Surgeons are used to people being concerned about sensitivity & will advise.
For very large reductions (but they also warn you for any size reduction) you may need a free nipple graft FNG … where basically the whole nipple is detached & then sewn back on in its new position. This means you are very unlikely to have any sensation but it will look aesthetically more normal. The risk with FNG is that without blood supply that the nipple dies. Again the surgeon will explain based on your personal situation & what they think will be best for you.
@Blimmingboobs your surgeon is probably surprised as nipple loss doesn’t equate with what they would consider a successful outcome. Bear in mind that they can improve shape as part of the surgery, so make sure you’ve chatted through all your options before you go ahead.
HTHs… soz … bit if an essay 🤓