Q. Will I lose sensation in my chest or arm after a mastectomy?
Doctor Answer is medically reviewed by SecondMedic medical review team.
The impact on sensation in the chest and arm after a mastectomy can vary from person to person and depends on several factors, including the type of mastectomy, the extent of lymph node removal, and individual variations in nerve sensitivity. Here are some general considerations:
1. Sensation in the Chest: After a mastectomy, it is common for individuals to experience a loss of sensation in the chest area, particularly around the surgical site. This is because nerves are typically cut or disrupted during the surgery. The degree of sensory loss can vary, and some individuals may regain some sensation over time.
2. Nipple Sensation: If the nipple and areola are removed during the mastectomy, nipple sensation will be lost in that area. If nipple-sparing or skin-sparing mastectomy is performed and the nipple is preserved, some sensation might remain.
3. Arm and Axillary Area: Loss of sensation or changes in sensation in the arm and axillary (armpit) area can occur, particularly if lymph nodes are removed during the mastectomy. This can lead to numbness or altered sensation in the arm and underarm. In some cases, this may improve over time, but it can be permanent for others.
4. Phantom Sensations: Some individuals report experiencing phantom sensations or pain in the area of the breast that has been removed, even if the breast is no longer present. This is a phenomenon where the brain continues to send signals associated with the lost breast.
It's important to discuss these potential changes in sensation with your healthcare team before the mastectomy so that you have a clear understanding of what to expect. While some sensory changes are common, they may not be the same for every individual. Factors like the surgical technique, extent of tissue removal, and individual variations play a role in the outcomes.
Over time, some individuals may experience a partial return of sensation, but it's essential to be prepared for the possibility of long-term changes in sensation in the chest and arm. Your healthcare team can provide guidance on how to manage any sensory changes and help you adapt to the new normal following a mastectomy.