Hi Kerry,
I’m sorry to hear about your dissatisfaction with the breast augmentation. Without actually seeing you it is difficult to make an accurate assessment of your condition. I will say however that there are occasionally anatomic limitations to the outcome of breast augmentation. As an example, if a patient’s nipples are located low on the chest they will probably still appear low after surgery. In other cases, if a patient’s nipples are directed to the side, they will likely still do this after surgery. Both of these conditions can be treated by procedures such as a mastopexy or breast lift but often the potential risks and extra scarring do not justify the anticipated change or improvement.
I agree with Drs. Speron and Wallach that the changes to the sides of your breasts are probably due to the sutures that were placed to reposition your implants. This will likely improve with time.
The “angling out” of your nipples may be related to the sutures that were placed as well. In general, the nipple looks most natural, youthful and attractive when centered on the breast mound. When the implant was repositioned more towards the center of your body, it may have left the nipple outside the center of the implant, giving the appearance of “angling out.”
There are not many options to help your breasts to appear higher and closer. Sometimes this can be achieved by having a wider diameter implant or a larger implant. Depending on the underlying condition, a breast lift may achieve this. Unfortunately, there are cases in which the “perfect” appearing breast is not achievable or realistic.
I know a lot of what I’ve stated is somewhat negative and I hope it is not unsettling to you. I would encourage you to discuss your concerns further with your surgeon and determine what additional improvement can be achieved.
Good luck and best wishes to you.
