Why Do my Nipple Stick out After Breast Augmentation? (photo)

I'm almost 4 months post op from a breast augmentation and my nipples still stick out. What is causing this? How can this be fixed? I did not have this problem before surgery.

Doctor Answers (15)

Why to nipples stick out?

+2

 You are young and have fairly large breast implants.  Because the tissue under your nipples are still firm (with young patients) as the breast is enlarged so does the nipple stick out more and can often become more sensitive for this reason.  Don't worry, you are only 4 months out from surgery, and as the breasts soften and the implants descend further this look will improve. You will look great in about 6 months.... just wait and see.


Jacksonville Plastic Surgeon
5.0 out of 5 stars 15 reviews

Nipple projection after breast augmentation

+2

An implant augments and adds projection to the entire breast including the nipple, therefore enhanced nipple projection after augmentation is not surprising.  This is more common in a young, nulliparous (never pregnant) patient with firm tissues and larger implants.  As the others have stated, this should improve as the breast softens and settles with the passage of time.  4 months is still early in the healing process.

Christopher J. Schaffer, MD
Birmingham Plastic Surgeon
4.5 out of 5 stars 48 reviews

Excess nipple projection after BA

+1

Your nipple projection looks normal to me. I'm sure that they seem more projecting since your whole breast is now more projecting. You would really need to check your pre-op photos to re-evaluate. I agree with others that it also appears that the implants are still a bit too high, though I'm not convinced it is from a capsule contracture.

Ronald Schuster, MD
Baltimore Plastic Surgeon
4.5 out of 5 stars 22 reviews

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Nipple and areola swelling and increased projection is very normal

+1

Nipple and areola swelling and increased projection is very normal after breast augmentation.  This will improve with time and likely will settle to a very acceptable appearance.  The cause is usually swelling but there is some increased pressure from the implant itself on the backside of the breast and nipple/areola.  The treatment is just more time- this will improve as your swelling subsides and your implants fall into a more approrpriate position. 

Stefan Mark Szczerba, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 18 reviews

Nipple protrusion 4 months after breast augmentation--this could be capsular contracture.

+1

Even for the most toned musculature and taut, youthful skin, 4 months is certainly adequate time for the vast majority of breast augmentation patients to have their implant position drop, soften, and settle away from the "high, tight" look you still have.

To my eye (thanks for including photos, they are very helpful in giving better answers), this is not just an issue of nipple protrusion, but rather what appears to be a Baker 4 capsular contracture. You still look abnormally high and round superiorly (what many would call the "Baywatch look"), and without examination I can only speculate about implant movement (or lack thereof) in your pockets. If indeed your breasts are both firm and move very little in their respective pockets, then you have capsular contracture, and this gives you not only the high round appearance we have been discussing, but puts abnormal pressure on your nipple/areola complexes, causing or aggravating the protrusion you ask about. In some cases, this degree of capsular contracture can also be painful.

If your breasts are soft, then capsular contracture is less likely, and this may simply be slightly too-high position for your implants, or perhaps implants that are a bit too big for your frame and tissues.

You need to see your plastic surgeon (or another ABPS-certified plastic surgeon for second opinion) to discuss this. Occasionally, leukotriene inhibitor therapy (oral Singulair or Accolate plus vitamin E) may help reduce the severity of capsular contracture, but in severe cases, only surgery to release or remove the capsules will offer relief or improvement of this tightness and nipple protrusion. Make an appointment to see your plastic surgeon and have this evaluated and a plan formulated. For more information about capsular contracture click on the web reference link below. Best wishes! Dr. Tholen

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
5.0 out of 5 stars 109 reviews

Nipple Projection after Breast Augmentation

+1

It is not unusual for many women to have increased nipple projection after their surgery.  This is seen even more in women whose breast tissue/skin was fairly tight to begin with.  The implants are trying to stretch everything out, and in doing so, pushing the nipples forward.  In looking at your pictures, it appears your implants are still somewhat high and rounder.  As they settle a little more and with some time, the nipple projection usually goes down a degree.  There is nothing surgically you could do to the nipple itself, but you could change to a less projecting implant at some point.  I hope this helps.

Christopher V. Pelletiere, MD
Barrington Plastic Surgeon
5.0 out of 5 stars 16 reviews

Nipples Sticking out after Breast Augmentation

+1

Thank you for your question and photos.

It looks like you have normal nipple projection. It could be possible that you had slight nipple inversion prior to surgery.  It is not uncommon for patients who have breast augmentation to experience more nipple projection due to the implants pushing out the breast tissue and the nipple/areola.

I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 681 reviews

Nipple pointing out after breast augmentation

+1

Thank you the question and the photos. It is difficult to give an exact answer without seeing your before picture and knowing the surgery details. My advice for you is to address your concern with your plastic surgeon. keep your appointment and follow all the post operative instructions. 

Moneer Jaibaji, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 3 reviews

Prominent Nipples after Breast Augmentation

+1

This is very common. If you think about it it makes sense that this should happen. You have placed a significant extra volume in your breast behind the nipples. The tends to push the nipples out.

It will improve as the skin stretches a bit and the tightness goes away.

 

Rodney A. Green, MD
Cleveland Plastic Surgeon
5.0 out of 5 stars 14 reviews

Nipple projection

+1

Commonly after a breast augmentation, the nipples project a bit more than usual. Usually this settles down with time.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 15 reviews

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.