Breast Lift: Q&A

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Nipple Placement After Breast Lift? (photo)

I want a lot of lift with very small breasts and no implants. I am not willing to consider implants, but I want my nipple higher from my inframammary fold than is typical in a breast lift. They're too lax and small to be conservative with a lift, I feel. I included regular photos and photos where I've taped my breasts to show what kind of result I'm looking to get. Is this realistic to expect after surgery? If not, why?

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nipples placement without implants

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24 Doctor Answers | Asked by flutterbeat

Doctor Answers (24)
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Nipple placement with breast lift

Thank you for your photos and question. Nipple placement should be at the most projecting part of the breast mound. If it is too high, like you show on the taped up photo, thaen it looks like your breasts are already bottomed out. Your nipple/areolar complex is sitting above your breast. If the nipple is too low, then you look like before surgery except for additional scars. No matter how high the surgeon places the breasts, they will tend to settle where the breast "foot plate" is. In you... more

Nipple placement after breast lift

I think the taped version of your breasts are a very realistic version of what to expect after surgery. I don't think you made the nipples too high. Based on looking at the extra skin, you will probably need a lollipop scar (around the areola and vertically down to the fold). Maybe we should have every patient tape themselves first! My only word of caution is that breast lift, done right, is not just a skin surgery - the breast tissue is tightened as well so it isn't so low. more

Lisa B. Cassileth, MD

3 reviews

Beverly Hills Plastic Surgeon

Yes, realistic.

You have a great figure and will look great with a vertical lift as you have handily demonstrated. If you did want a "lagniappe," and I was doing your surgery, I would ask you to consider the use of acellular dermal matrix as an "internal bra" to decrease the probability of long term "bottoming out"(which essentially means recurrence of sagging, but of the lower breast tissue and skin- not the nipple). Another thought would be fat transfer if you wanted additional breast volume... more

Nipple position after Lift?

Congratulations on achieving a pretty good lift with taping. If you would be happy with an overall shape as shown in your photos, then I think a vertical (or lollipop) type of lift would be a reasonable choice, just emphasizing a somewhat higher nipple position than is typically achieved. However, your breast looks slightly bottomed out and your nipple is tipped upward. This is an appearance often seen in a verticle lift, and many traditional type lifts that only remove skin. Another option... more

Breast lift

Nice tape job. Your expectations are realistic and definitely achievable,

Breast Lift Appropriateness?

Vertical or full breast lift can produce the result you demonstrate with the taping. If you are happy with the volume of the breasts, the lift is all you need.

Breast lift

Yep, that's what they will look like, plus scars of course. Usually, in cases like yours, I recommend a small implant as well, but if you do not want an implant, no problem.

Nipple Placement After Breast Lift?

What you have done with tape can be done at surgery, and in fact , many techniques of marking involve similar "tailor-tacking." What you may not find is a surgeon willing to do this exactly as you have taped, since the areola and nipples look a bit too high, but that should be resolved at a consultation where the pros and cons of the areolar placement can be discussed. When you ready for an in person consultation, RealSelf has listings of surgeons in your area. You should... more

Nipple position after a breast lift should usually be above the fold

This is a great question and you have done a masterful job of trying to show your desired outcome. From what I can tell, your "after" photo is quite reasonable. How the breast attaches to your chest wall is stable and hard to change, but how your breast falls over the fold is not. During a mastopexy (breast lift), your breast volume is "repackaged" with the goal of a firmer, less overhanging gland and with the nipple/areola proportional in size and centrally located on the new mound. There... more

Nipple position after breast lift surgery

Communication between the patient and plastic surgeon is key to achieving a mutually beneficial outcome. Your taping approach is clever, because it clearly communicates your taste in terms of nipple position. The nipple position is certainly achievable. It is equally important to use a breast lift method that properly anchors the internal breast structure and brings adequate volume to the upper portion of the breast. For one approach, feel free to visit the section of... more

Nipple Placement After Breast Lift?

I'm gpoing to answer a bit differently. Yes I agrees with a donut lifting or even a L-shaped lift (doubtful). But I would do fat grafting to help in the appearance of a lift. Just a thought!

Breast Lifting

Based on your pictures your desires should be very achievable with a full mastopexy or breast lift. Of course, no one specific result can ever be guaranteed and while unlikely, based on your youth and small breast size, complications can occur which may also compromise your result. Make sure you seek out the attention of an experienced board certified plastic surgeon.

Yes you can have a lift like that

Flutterbeat, you are looking for a full lift. Yes it is possible and the price to pay are scars. These will, however, fade over time. A complete breast reshaping through what I call vertical sling mastopexy can give you a lift that repositions the breast, does not lead to loss of volume (and in fact can create an appearance of augmentation). See the link for more pictures of this procedure. Martin Jugenburg, MD Toronto Cosmetic Surgery Institute more

Breast lift without implants

You can achieve what you show with taping, with the sub-areolar lift An incision is made around the areola and internal lifting is done . This can be enhanced with absorbable mesh

Evaluating a breast lift by taping

Congratulations on an excellent idea for demonstrating results in a proper breast lift without an implant. I show the patient this by digitally holding up the nipple-areola but taping it for inspection is an even better approach. You can even see that your breast doesn't look smaller but actually looks a bit bigger (even though nothing is added) when it is up at the appropriate level. It is possible to achieve the nipple height you are looking for but it requires a true... more

Breast lift without implants

Taping is great but it may not give you the exact result you are looking for. An exam will help determine the best lift for you.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Nipple position after lift

Thanks for your inquiry and excellent demonstration of your goals with tape! I think your vision is achievable, but it will entail a vertical component, lollipop lift, to get there. Good luck.

Can breast lift do this? (photo)

Yes, it is realistic, and what you have done with tape is simulate the exact maneuvers performed during breast lift surgery.

Your desired results are realistic

Hello, Thank you for the question and photos. The results that you have demonstrated by taping your breasts are achievable. Although there are a few breast lift procedures that can be utilized the circumvertical breast lift (aka vertical breast lift, aka lolly pop breast lift) will be the ideal breast lift procedure for you. Make sure you seek consultation with an experienced board certified plastic surgeon that can show you good before and after photos. Below is... more

Breast Lift- Nipple Position

It seems you have a good understanding of what you want from your breast lift. I believe your taping appearance can be achieved with a lift. Implants would not be necessary. Breast implants give a more full shape than a lift. This can be seen in particular at the top or upper aspects of the breast. The nipple can be successfully elevated as you desire. Best of luck! Dr Saunders

High nipple placement is achieved with vertical lollipop scar breast lift.

Hi. This is the Lejour technique, and it gives you good long term lift without implants, because it lifts the breast tissue itself and does not rely on tightening the skin (which stretches). see video

Nipple position

The photos with the tape are realistic. This can be done with a vertical lift which will leave you with a periareolar and a vertical scar. A small hoizontal scar might be needed if there is too much skin in the lower part of the breast. The ideal position is for the lower edge of the nipple to be even with the breast fold and the distance from the areola to the fold to be about 6 centimeters. A donut lift will not work. Remember that the upper part of the breast will... more

An effective lift will also make your breasts smaller.

Yes, a vertical breast lift can accomplish the tightening of the lower pole you desire and also elevate the nipple position and inframammary crease the way you want. Periareolar (Benelli, crescent, donut) techniques do not accomplish much lift, so be sure it is a vertical lift. An inverted-T causes too much scarring. You said that you don't want implants and that's fine. But remember, if the surgeon performs an effective lift, he or she will make... more

Realistic Expectations for Breast Lifting Results?

Base on the number of questions you have posted and the impressive work you have done with taking of your breasts (hopefully it will not be too painful of an experience removing the tape) , you should be congratulated on the amount of “homework” you are doing. Yes, I think it is realistic to expect your breasts to look similar to what you have accomplished with the taping maneuvers. Best wishes.