Will I ever get some feeling back after PBMX?

Whether your bmx is prophy or you actually have bc, all the breast tissue is gone. Most woman, though not all, have little feeling in their chest. I am almost three years out. I have some skin sensation, but no inside "breast" sensation. After all, my skin contains a silicone filled bag and not much more. The skin sensation is not complete, but I know when something is touching my chest. Some women claim more feeling, but implants for recon will never regain the feeling you had with your natural breasts. The inner breast tissue is simply not there. I hope this doesn't bum you out ,but hopefully, you discussed this with your surgeon ahead of time and were prepared for it. Good luck with your exchange. I understand it's a much easier surgery than the bmx (I had one step implants). 

FLgrl32 - after I posted the above reply, I realized that there was another point I wanted to make. After going through all the pain and discomfort of the BMX and TEs, and the additional complications I had at Exchange, I do feel like my saline implants ARE my breasts. 

They are not my "foobs", they are not "fake", they just happen to not be the breasts I was born with, but the ones the PS created for me. I am VERY happy to have them.

In the beginning, I complained to my MO - "I feel my implants all the time!" Her answer? "Give it time." I said I HAD given it time... she said give it MORE time.

She said my brain had become used to the idea of how my native breasts felt for more than 50 years, so it had to get used to the new feeling of new breasts. She was right. I had been carrying around some 40DDD honkers.... and what I have now is a very nice 36DD. It was a relief to get rid of that weight and that larger size, although having BC was not the way I wanted to do it.

You may be very surprised at how you feel after Exchange. I wouldn't worry so much about the lack of feeling right now. 

Wishing you the best....

As exbrnxgrl said, whether your MX is for treatment or is done for prophylactic reasons, your breast tissue is gone. Along with that goes your nerves too. Nerves can regenerate in time, but they won't ever be able to replace what you had as they cannot regenerate through silicone or saline. Some women do report some sensation across skin or nipple, but the feelings you do get again can't and won't be the same as it was. Some women also report phantom pains.

In my case I occasionally have phantom sensations that "feel" like they are in or around my nipple. They are similar to the fibrocystic pain and ache I used to get in my nipples, but I do notice less of these as time goes on. If I touch my nipples they just feel numb though. This is also the case for the lower half of my breasts below the nipples.  I do have surface/skin sensation on top half and can feel it if I or my husband run fingers lightly over top of breasts. My cleavage area was initially very hypersensitive but now is normal..I have surface/skin sensation in cleavage and inner portion of breasts along implant edge. The feeling over my sternum here is the same as pre-surgery...which for me meant it feels a bit weird and uncomfortable to touch or add pressure to! I have a boney sternum/not much tissue over it so it has never felt comfortable to touch. I also have some feeling on very outside along implant edge though right now that feeling is more often "soreness" like I bruised it. I have some feeling and sensitivity along scar lines in IMF. I can feel pressure and no when someone is pressing down on my chest (or when my cat is walking across it at 2:00 AM!)

None of this loss of sensation surprised me and I was both aware of it and knew it made sense given they were removing tissue and along with it nerves. So I find it curious more than anything. Similar to blessings, I actually do feel like these are my breasts even though they are different  - and feel different - than the ones I carried around for 20 or so years. And mine are still "developing"!

I am sorry if this is new news to you, this is something doctors really need to explain to patients. 

I had surgery June 5 and have feeling at cleavage, some on sides and a little where alloderm is. Nothing above incision. I just now partially shut my right breast in a cabinet so not that much feeling. Wonder if anyone has any tricks so they don't injure themselves?

I also feel surgeons kind of gloss over this fact. Mine told me but it really doesn't sink in until you realize what it feels like. I was afraid to touch my breasts for two weeks. When I saw the surgeon and she pressed into the TEs I almost went through the roof because I had been guarding them so much. It's strange to have no sensation but still be able to feel pressure.  Hopefully this is something we can get used to.

I'll chime in here too...

I have the slightest sensation on my skin but everything else is numb.  Shaving under my arms is weird because I cannot feel the razor.  I have bumped into things with my boobs as a result of not realizing they are there.  

It's not a perfect world but it is far better than dealing with cancer.