Nipple + Areola Too High After Breast Augmentation with Lift

There are two likely reasons why your nipples and areolar are now too high.  First, they may have been placed too high during your initial procedure.  Second, your implants may have "bottomed out" causing your nipples to rise.   Frequently, when implants become malpositioned, the nipple and areola tend to become displaced in the opposite direction.  The solution to your problem obviously depends on the cause.  If the nipples were placed to high initially and your implants are otherwise well positioned, there are not many options available to fix the issue.  Some authors have recommended expanding the superior poll, but this may be  costly and involve multiple operations.  If the problem is the position of the implant, repositioning the implant may correct the issue.  There are a variety of techniques available to reposition implants.  The best judge as to how your problem can be fixed will likely be a local board certified plastic surgeon.  Lastly, the areola can stretch out after a augmentation mastopexy if a buried permanent suture is not used as a preventative measure. 

Unfortunately, this can occur following breast uplift and is a difficult problem to correct.

Ideally, your nipples should lie approximate 21 cm from the notch between your clavicles at the lower part of your neck.

If the nipples are higher than this and are shown out of the top of your bra they may need lowering and making them smaller. The ideal diameter for the brown part of your nipple (areola) is approximately 4.5 cm and this is the ideal your surgeon should aim for.

I would suggest that if you're unhappy with the appearance of your bust you seek a further consultation with your surgeon to discuss the options of lowering and reducing your nipple size.

I wish you the best of luck if you do decide to go ahead with this treatment.

Generally, when the nipple areolar position is too high after a mastopexy augmentation, the cause is inferior displacement or "bottoming-out" of the inferior breast fold.  This can happen with any breast operation, and can be fixed, but can recur.  The most common complaint is that patients feel that their nipple areola areas pop out or can be seen from the top of a bra or bathing suit.  Rarely is the cause from inaccurate measurements for the new nipple position prior to the breast lift.  Treatment consists of elevating the inframammary fold to a higher, more natural position.  Either permanent or semi permanent sutures are used, and most plastic surgeons requiresome type of rigid bra support  such as an underwire bra to help the area heal in the correct position.  I like my patients to wear this support 24 hours a day for approximately 2 months after surgery.