Placing breast implants usually does not affect the size of the nipples and areolas. The areolas may look slightly fuller, but not significantly larger. Breast augmentation sometimes causes changes in nipple sensation and sensitivity, whether the surgery is performed through periareolar incisions or other incision patterns. A small percentage of patients have nipple hypersensitivity, whereas others may lose sensation. This is usually temporary as the breasts heal. Dr. Khalil can explain these risks in more detail during consultation if you are concerned.