Breast Augmentation: Q&A

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If I Have Naturally High Nipples How Do I Avoid Potential Double Bubble?

I have been for consults for 4 board certified surgeons (2 in New York, 2 in Australia when I went back to visit family) and have received conflicting advice from different surgeons. I am 5'11 and weigh 135lbs. My bust is 35B and I would like to go to a D cup. Apparently my nipples sit quite high, I have high set breast folds and a wide gap. They would need to lower the natural crease? I have slight asymmetry also. Thoughts?

13 Doctor Answers | Asked by Hayleyny in New York
+2

High nipples and implants

Having nipples well above the creases is advantageous in minimizing the risk of a double bubble deformity becasue you do not need to lower the crease and the crease is the best barrier to implant descent. Forget cup sizes and go for the "look" you wat to achieve. I would consider a moderate profile implant as wide as your chest wall dimensions would allow to get the best look for your starting point.
+1

Nipple position and double-bubble deformity

Unfortunately the answers I see here are adding to your "too many consultations" problem. One surgeon apparently doesn't realize that a true double-bubble deformity is caused by the lower edge of the pectoralis muscle and can't happen in a non-constricted breast if the implant is above the muscle. If the pectoralis muscle is properly released in a dual-plane and the inframammary crease level is controlled, you shouldn't have to deal with this. I suspect that the reason... more
+1

Breast augmentation and double bubble

The majority of women have breast asymmetry and they are good candidates for breast augmentation. I think you are a good candidate for that procedure. Your nipples are in normal position, from the pictures you provided. The risk of double bubble deformity is really low if done appropriately. You will need to address your concerns with an experienced plastic surgeon, bring photos of what you like to look, this will convey significant information to your plastic surgeon. The concerns... more

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What size implants?

The photos show that you are tll and slender. Your breasts are actually a bit spread apart so I think that is mor important than the position of your nipples, which to me look well positioned on your breast. I suspect that you would do best with high profile implants, otherwise I think that they will tend to fill out your breast too much on the sides. The only drawbak to this is that you might not get as much natural cleavage without a bra that you might desire. I would recommend choosing an... more
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If I Have Naturally High Nipples How Do I Avoid Potential Double Bubble?

It seems to me that you are an excellent candidate for breast augmentation. The very fact that your nipples are located a bit higher on your breasts means that your surgeon would likely not need to lower your creases, as this would cause the nipples to appear even higher. You are no more asymmetric than virtually anyone I see for breast augmentation. The so-called double bubble is a rare outcome in experienced hands. I think you are suffering from too many consultations... more
+1

Lowering the IMF in breast augmentation

Hi there You've got a long torso, and are tall. High sitting breasts are advantageous in terms of torso and breast appearance. There are no anatomic barriers to you achieving an excellent augmentation if you want to have that. The IMF will not need to be specifically lowered, but it will descend slightly just due to the implant weight postop and that will be enough. You are low risk for a double bubble deformity if the IMF is not lowered, and high risk if it... more
+1

Treatment of asymmetric breasts

Your posted photos show asymmetric breasts with the right breast smaller than the left and the right inframammary fold at a higher level than the left. The gap between the breasts is wide and the nipples point slightly out to the sides rather than straight forward. If you just put implants in the nipple divergence will likely increase. Therefore you would need different sized implants in each breast, lowering of the right inframammary fold and a skin procedure to handle the nipple divergence... more
+1

High nipples do not cause double bubble after breast augmentation.

Hi. 1) Judging by your pictures, I would say you have ideal anatomy for breast implants, except for the slight asymmetry. The common problem after breast augmentation is implants that sit too high on your chest and look fake. Having high nipples makes it easier to avoid this problem, because the implants can more easily be centered on your nipples instead of being above them. 2) The "double bubble" deformity is caused by a technical error and can be... more
+1

Breast augmentation

Each and every case of breast augmentation is slightly different. It is hard to tell from your photos what sized implant is best for you body. ie base diameter, distance from nipple to infra mammary fold etc. These measurements help guide a surgeon in picking out an implant best suited for your body. There are different style implants, different diameters which could permit correction of your concerns. Different approaches are common in our field. Many different approaches will achieve... more
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You look normal to me

I don't think that your nipples are high and I would put in silicone implants where they belong, over the muscle. I doubt you will end up with "double bubble" deformity. Just don't go too big, but you are tall and can accomodate large implants
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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