How to Fix Bottomed Out Breast Lift with out Implants?

asked 1 year ago by peeking out in Huntington WV
Latest answer by Tom J. Pousti, MD
Question viewed 1,407 times
Tags: nipples, bottom out, implant, options, reduction

I had a breast lift (no implants) 3+ months ago. I now have very high nipples. I also have oval nipples apparently from the weight at the bottom of the breast. I was hoping to avoid implants, any options for me to get more normal proportions? I would even consider some reduction. Sternal notch to nipple 18cm, nipple to mid line 11cm, nipple to infra-mammary crease 8.5cm (straight line, not following the curved contour),breast base 13cm right/15 cm left, areolar diameter 5cm.

9 answers to How to Fix Bottomed Out Breast Lift with out Implants?

Bottomed out breast lift.

A breast lift can raise a nipple and lift the skin, but it can be hard to successfully reposition the breast tissue.. Unless the surgeon uses a technique aimed at addressing the absence of beast tissue above the nipple, the heavy breast tissue below the nipple will bottom out, pushing the nipple further upward. The best way to treat this is by removing extra skin and even breast tissue at the level of the breast fold. This allows for correction of the asymmetry as well, since the... more

Beverly Friedlander, MD
Short Hills Plastic Surgeon

You look like a vertical lift was done

For only 3 months postop you have quite a poor looking result I am sorry to say. The nipples are too high (star gazing) and there is too much baggy skin in the lower pole of the breast. This is not "bottoming out" as that usually is a term used for implants that are too low but you are very bottom heavy because you have too much lowe pole skin (like a hammock hung too loosely between two trees). To improve this look, you need another surgery and this time if... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast Lift Revision Options?

Thank you for the question and pictures. I think you will benefit greatly from revisionary breast surgery. I would suggest excision of a significant amount of redundant skin along the lower poles of the breasts. This excision will “tighten up” the breast skin envelope and improve the contour of the breasts. You will find that the position of the nipple/areola on the breast mounds will be improved ( no longer appearing to point up). Best wishes. more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Changing nipple heights

I do not think that your nipple heights are too high. The problem is with the lower poles of the breasts where insufficient tissue was resected or your tissues did not tighten up as well as expected after the procedure. I would favor additional skin removal from the infra mammary crease area which would be relatively simple and should improve the aesthetic appearance of the breasts.

Robert L. Kraft, MD
New York Plastic Surgeon

How to fix breasts after breast lift?

The distance from the nipple/areola to the inframammary crease is very long and thus the bottom of the breast looks "bottomed out", though this is different than "bottoming out" where implants have dropped down too far. Although on occasion a properly lifted breast can have its lower pole stretch excessively over time and require a re-tightening, this does not appear to be your case, and of course you are only 3+months out. It does appear as if you have had a... more

Robert M. Grenley, MD
Seattle Plastic Surgeon

Nipple position

Based on the pictures only and your measurements that you report, it may be that your nipples are a bit high. This can be very difficult to change. An exam would be key.

Steven Wallach, MD
Manhattan Plastic Surgeon

No easy answer

Although the measurments and pictures you provided are helpful; it is still not easy to give you a straight answer. It does appear to me that the nipples are to high on the breast mound. Lowering the nipples is not as stareight forward as elevating it. You may benefit from excisiong skin from the inferior pole of the breast. That would elevate the breast tissue and centralize the nipple over the breast mound. Is this going to be permanent ? time will tell. Good luck. more

Moneer Jaibaji, MD
San Diego Plastic Surgeon

Fixing bottomed out breast after lift.

The only way I know of lowering the nipple if by removing skin at the inframammary fold. When done appropriately this will lower the nipple and improve the appearance of your breasts.

Sanjiv Kayastha, MD
Albany Plastic Surgeon

www.kplasticsurgery.com

Fixing Bottoming out after breast lift

Usually you need to make the breast smaller so that there is less gravity effect to bottom outthe breast. Implants do not fix bottoming out. The other option is to re-do the breast lift so that the nipple is moved down but there is a chance that this can happen again!