Asymmetric Nipples. Revision Without A Lift? Am I Bottoming Out? Is Their Hope? (photo)

Hi again :) I read all of the advice given with my previous question regarding my asymmetric breasts (TY!). I have provided pics of my pre op breasts, per request, to show what they looked like. I do see the asymmetry before as well. I am wondering if there are other ways to correct this or, help it without a lift? If I were to get a lift would a donut lift be useful/helpful/? I am planning a revision and wondering if I switch to saline and have different sizes in each if that would help?

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asymmetry bottom out uneven nipples

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12 Doctor Answers | Asked by Damsel in Denver, CO

Doctor Answers (12)
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Size Well Matched and Need Donut Lift

Your photos indicate that you have well matched sizes for your breasts and the donut lift would be advisable. Kenneth Hughes, MD Los Angeles, CA

Improving Breast Symmetry after Breast Augmentation?

Thank you for the question and pictures. Yes, there is hope to improve your breast symmetry significantly. Doing so may necessitate adjustment of the breast implant pockets. For example, if one breast implant is “riding higher” than the other, the nipple/areola complex on that side may seem to be pointing downwards. This adjustment of the breast implant pocket along with a limited breast lift on the side with the lower nipple/areola complex should help... more

Uneven nipple position before and after implants

Overall the result is fairly good considering the asymmetry you had originally. If you want better symmetry, I would slightly lower your left breast fold (although the difference is minor) and do a periareolar lift on the left side. Best of luck.

Paul Wigoda, MD

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Fort Lauderdale Plastic Surgeon

drwigoda.com

Revising asymmetric results

I agree with Dr. Squires' assessment. In your case, the augmentation with oversized implants tended to accentuate the difference in the nipple-areola position. Raising the right inframammary crease and lowering the left would help as would lowering the forward profile volume of the implant along with a slight reduction of the width of the implant. Implants do not lift the breast (or nipple-areola) position and removing or lowering the forward volume doesn't correct nipple-areola... more

Asymmetry

Hi Damsel, You had some asymmetry after your first surgery and it clearly became exaggerated after your revision. We don't have pictures of your breasts prior to your first surgery. Nonetheless, it appears that your left breast had a slightly lower nipple position and a slightly higher inframammary fold. You mentioned you had mild capsular contracture after your first surgery. I am assuming that was in your left breast. At this point your... more

A Solution to your Problem

Your pre operative photos show asymmetry of both the nipples and the inframammary crease positions. Your left nipple was lower than the right before surgery and this has been accentuated by the breast augmentation. The right crease was lower than the left and this allowed the right implant to sit lower, thereby making the right nipple look even higher than it was before surgery. I would elevate the right crease slightly and lower the left slightly to correct the implant position. You may... more

Nipple asymmetry

Damsel: the most common cause of postoperative asymetry is pre-operative asymetry which you had before surgery. It will persist unless it is addresses surgically. It is quite common and tends to run "in the family" ..like scoliosis. They will not know it unless someone (? yourself) takes a critical look.

Asymmetric Nipples. Revision Without A Lift? Am I Bottoming Out? Is Their Hope?

A review of your photographs reveals the asymmetric nipple areolar position in the original photo. After going larger, the implant size and shape looks good but I think a small upper periareolar mastopexy would be helpful on the left side.

Asymmetric Nipples. Revision Without A Lift? Am I Bottoming Out?

The breasts look pretty even in size and shape at least in the photo on the right. I would suggest only peri-areolar lifting to correct the nipple position. I can't tell if these are above or below the muscle. If above, I think that moving them to the submuscular plane would make these look a bit more natural. Thanks for your question, and for the posted photos. All the best.

Breast implant and nipple asymmetry

Thank you for submitting your photos. Patients with post operative breast and nipple asymmetry always need to review their pre operative photos. Your post operative photos show that your left nipple is about an inch lower than your right. That in fact is present in your pre op photos as well. Your implants appear to be near the same height. So, I think that your nipple asymmetry is due to ptosis on the left which is easily treated by a crescent or donut... more

Asymmetry

The base of both implants seem to be at the same level. If they are inflated to the same volume then a small left sided lift will improve this.

Improving asymmetry

I think that improving your asymmetry can be accomplished. An exam inpreson would help determine the best approach. A circumareola lift on the left may help and you may need some pocket adjustment as well.