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I Have an Inverted Nipple, Large Areolas, and Sagging Breasts from Pregnancy, What are My Options? (photo)

asked 6 months ago by nothappyanymore in Norfolk, VA
Latest answer by J. Jason Wendel, MD
Question viewed 2,187 times
Tags: after pregnancy, sagging, areola reduction, inverted

I went from a 36C to a 40F while pregnant, now I am back to a 36C. I now have lifeless, sagging, breasts with extra skin and large areolas with a nipple that has decided to invert on its own (left nipple). I would like perkier fuller and more attractive breasts that are closer together with a smaller areola and a normal nipple. How can we accomplish this? What is the down time? How soon would I be able to fly after surgery? How long before I would be able to hold/carry my toddler?

12 answers to I Have an Inverted Nipple, Large Areolas, and Sagging Breasts from Pregnancy, What are My Options? (photo)

Options for breast involution after pregnancy

Your options are for a breast lift only, or for a breast lift with implants if you want to be bigger. Schedule a consultation with a plastic surgeon in your area to ge the details for a specific recovery regimen.

J. Jason Wendel, MD
Nashville Plastic Surgeon

www.mc.vanderbilt.edu

Improvement in breast shape via a breastlift.

Given the goals that you stated, a breastlift or mastopexy is your best option. Whether or not to add implants depends upon how you feel when your breasts are properly fitted in a bra. If you like the volume in a well-fitted bra, implants are not necessary. A mastopexy will reduce the areolar size, improve the position of the nipples, improve breast projection (perkiness), and remove excessive skin. The recovery is fairly rapid (1-2 weeks), you can fly after a few days, and you can lift your... more

David Bogue, MD
Boca Raton Plastic Surgeon

Achieving perky, attractive Breasts after pregnancy

Hi there- It is first important to be sure you will have no further children, as another pregnancy will probably adversely affect any surgical outcome achieved. Secondly, please be aware that nipple inversion, when new, can be a sign of a problem that you should notify your family doctor and/or gynecologist about. Assuming that you are healthy and there are no concerns about your breast health, your options are to have your breasts lifted, or to have them lifted in conjunction... more

Armando Soto, MD
Orlando Plastic Surgeon

A cure for sagging breasts

I would recommend a breast lift together with modest size breast implants. I would emphasize the lift over the size. These two procedures work in sort of opposite directions. The larger you want your breast, the less tight it can be made. Because you want your areolas to be smaller, and I agree with you on that, more skin will need to be removed in order for them to look good. With more skin being removed there is less room for the implant. Basically I would recommend going for the... more

Ronald Schuster, MD
Baltimore Plastic Surgeon

Breast Contouring After Pregnancy

You would be a good candidate for a breast lift (which would also reduce the areolar width) and a breast implant, if you desire to be fuller with more upper breast definition. The best option for you would be discussed at the initial consultation when you review with your surgeon your goals for surgery. Nipple inversion might improve after breast augmentation. . .however after a physical exam, it could be determined if correction of inverted nipples could also be performed... more

Diane L. Gibby, MD
Dallas Plastic Surgeon

Breast Lifting and Augmentation

Thank you for the question and pictures. I think you are an excellent candidate for breast augmentation/mastopexy surgery. This operation should meet all of your stated goals. The operation will involve “down time” of about 1 week. You should be able to fly after a few days and hold/carrier toddler after 2-3 weeks. Best wishes.

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Sagging breast options

You would be a candidate for either a mastopexy with areolar reduction alone or an augment/mastopexy, depending on your personal preference. I would recommend deferring treatment of the nipple inversion until after the mastopexy because it may improve as a consequence of that surgery. In terms of flying, I recommend that you wait for at least two weeks after surgery and then refrain from lifting heavy objects. Also, in terms of lifting your small child, this is a great time to teach him or... more

Robert L. Kraft, MD
New York Plastic Surgeon

Sagging Lifeless Breasts

An augmentation with mastopexy will improve your volume, lift your breast, and reduce the areolar size. Your left nipple appears to be only partially inverted as it is protruding in one of the pictures. This is common and will sometimes improve after implant placement. I would recommend that you see what happens with the nipple inversion after the surgery, then correct it at a second procedure if it is still inverted.

Donald Griffin, MD
Nashville Plastic Surgeon

Breast lift

It appears that you would be a good candidate for an augmentation mastopexy (breast implants and lift). This procedure includes an areola reduction as part of the lift. Most of my patients have this done all at one surgery. Sometimes placing an implant will correct an inverted nipple. I would recommend having the augmentation mastopexy done and then if the nipple is still inverted it can be corrected as a simple office procedure at a later date... more

Gary Hall, MD
Kansas City Plastic Surgeon

www.hallmd.com

Options for sagging breasts

From your photos and goals, you are a great candidate for a breast lift with areolar reduction. You stated that you want fuller breasts and your photos show that you have lost some volume in the upper poles of your breasts. This is difficult to restore without an implant. The implants can be placed at the same time or at a second stage after your breast lift. If you are having implants placed, the concern for contamination with bacteria from your nipple would be another reason to address... more

Nia Banks, MD, PhD
Washington DC Plastic Surgeon

www.drbanksplasticsurgery.com

Breast Improvement after Pregnancy

Based on your pictures, you may want to discuss a breast lift (and possible breast implant) with a Board Certified plastic surgeon. An areolar reduction and correction of nipple inversion can be done at the same time. Recovery is typically 2 to 4 weeks and you may be able to travel sooner. You should discuss the specifics with your surgeon.

Karol A. Gutowski, MD
Chicago Plastic Surgeon

Breast surgery after pregnancy

A breast lift with augmentation would address the extra skin, enlarged areolas, and increase fullness in your breasts. Inverted nipples can be corrected, however I would not recommend surgery for the nipple at the same time since there is a risk of loss of blood supply to the nipple with all that surgery (and losing your nipple). Placing an implant and doing a lift (or mastopexy) may even help push the inverted nipple out, since it looks like it comes out easily on it's... more